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    Algoritma Penanganan Kejang Akut

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    Ewa Claudia
    This document provides guidelines for treating acute seizures and status epilepticus in 3 stages: 1) Pre-hospital treatment with diazepam 5-10mg rectally up to 2 times within 5 minutes. 2) At the hospital ED, diazepam 0.25-0.5mg/kg intravenously if seizures continue for 10-20 minutes. Alternatives include midazolam or lorazepam. Vitals, labs, and EKG are monitored. 3) If seizures continue, phenytoin or phenobarbital are given in the ICU over 20-60 minutes, with additional doses if needed. Refractory cases may require midazolam infusion or

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    Algoritma Penanganan Kejang Akut

    Uploaded by

    Ewa Claudia
    16 views1 page
    This document provides guidelines for treating acute seizures and status epilepticus in 3 stages: 1) Pre-hospital treatment with diazepam 5-10mg rectally up to 2 times within 5 minutes. 2) At the hospital ED, diazepam 0.25-0.5mg/kg intravenously if seizures continue for 10-20 minutes. Alternatives include midazolam or lorazepam. Vitals, labs, and EKG are monitored. 3) If seizures continue, phenytoin or phenobarbital are given in the ICU over 20-60 minutes, with additional doses if needed. Refractory cases may require midazolam infusion or

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    ALGORITMA PENANGANAN KEJANG AKUT

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    This document provides guidelines for treating acute seizures and status epilepticus in 3 stages: 1) Pre-hospital treatment with diazepam 5-10mg rectally up to 2 times within 5 minutes. 2) At the hospital ED, diazepam 0.25-0.5mg/kg intravenously if seizures continue for 10-20 minutes. Alternatives include midazolam or lorazepam. Vitals, labs, and EKG are monitored. 3) If seizures continue, phenytoin or phenobarbital are given in the ICU over 20-60 minutes, with additional doses if needed. Refractory cases may require midazolam infusion or

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    16 views1 page

    Algoritma Penanganan Kejang Akut

    Uploaded by

    Ewa Claudia
    This document provides guidelines for treating acute seizures and status epilepticus in 3 stages: 1) Pre-hospital treatment with diazepam 5-10mg rectally up to 2 times within 5 minutes. 2) At the hospital ED, diazepam 0.25-0.5mg/kg intravenously if seizures continue for 10-20 minutes. Alternatives include midazolam or lorazepam. Vitals, labs, and EKG are monitored. 3) If seizures continue, phenytoin or phenobarbital are given in the ICU over 20-60 minutes, with additional doses if needed. Refractory cases may require midazolam infusion or

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    ALGORITMA PENANGANAN KEJANG AKUT & STATUS KONVULSIF3

    Diazepam 5-
    Prehospital 10mg/rekt max 2x 0-10 mnt
    Jarak 5 menit

    MONITOR
    Airway Diazepam 0,25-0,5 mg/kg/iv/io 10-20 mnt
    Hospital ED
    Breathing, O2 (kec 2mg/mnt,max dosis 20mg )
    Tanda vital
    Circulation EKG
    Gula darah
    Elektrolit
    Midazolam 0,2 mg/kg/iv bolus serum
    NOTE : JIKA DIAZ RECTAL 1X PRE (Na,K,Ca,Mg,C
    I)
    HOSPITAL BOLEH RECTAL 1X
    Lorazepam 0,05-0,1 mg/kg/iv Analisa Gas
    Darah
    (Rate <2mg/mnt)
    Koreksi
    kelainan
    pulse oxymetri
    KEJANG (-)
    5-7 mg/kg Fenitoin
    12 jam kemudian 20 mg/kg/iv 20-30 mnt Kadar obat
    (20 mnt/50ml NS) darah
    Max 1000mg
    KEJANG (-)
    ICU ED
    5-7 mg/kg
    12 jam kemudian

    Phenobarbitone
    20mg/kg/iv 30-60 mnt
    KEJANG (-)
    (rate>5-10min;max 1g)
    4 – 5 mg/kg
    12 jam kemudian

    ICU Refrakter

    Midazolam 0,2 mg/kg/iv bolus Pentotal – Tiopental Propofol 3-5 mg/kg/infusion


    Dilanjut infus 0,02 – 0,4 mg/kg/jam 5 – 8 mg/kg/iv

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