SlideShare una empresa de Scribd logo
1 de 25
Treatment of Epilepsy in ER Submitted to  AskTheNeurologist.Com   in 2007 Author Anon.
The first seizure ,[object Object],[object Object],[object Object],[object Object],[object Object]
Seizure recurrence ,[object Object],[object Object],[object Object],[object Object]
Risk factors for seizure recurrence ,[object Object],[object Object],[object Object],[object Object]
Treatment of status epilepticus ,[object Object],[object Object],[object Object],[object Object]
Definitions ,[object Object],[object Object]
Operational definition ,[object Object]
Predictors of outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment and supportive measures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Glucose ,[object Object],[object Object],[object Object]
Blood pressure ,[object Object],[object Object],[object Object],[object Object]
Body temperature ,[object Object],[object Object]
Systemic treatment ,[object Object],[object Object],[object Object],[object Object]
1 st  line drug treatments ,[object Object],[object Object],[object Object],[object Object]
Benzodiazepines Can be used alone Necessitates use of a second long-acting drug Longer duration of action  Rapid redistribution into body fat  Less rapid penetration into brain  More rapid penetration into brain Less lipid soluble More lipid soluble Lorazepam Diazepam
Lorazepam ,[object Object]
Fosphenytoin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maximal brain concentrations of phenytoin ,[object Object],[object Object]
Phenobarbital ,[object Object],[object Object],[object Object]
IV Valproic acid ,[object Object],[object Object]
Refractory status epilepticus ,[object Object],[object Object],[object Object],[object Object],[object Object]
Recommend saline and dopamine infusion Myocardial depression Vasodilatation Decreased venous return Decreased cardiac perfusion Associated with profound systemic side effects Assessment clinical and on basis of EEG Potent Doses adjusted on basis of EEG responses Tachyphylaxis necessitates dose variation Pentobarbital Propofol  Midazolam
Recommendations regarding Barbiturates ,[object Object],[object Object]
Submitted to  AskTheNeurologist.Com   in 2007 Author Anon.

Más contenido relacionado

La actualidad más candente (20)

Acute renal failure
Acute renal failureAcute renal failure
Acute renal failure
 
HYPERTENSION EMERGENCY & URGENCY
HYPERTENSION EMERGENCY & URGENCYHYPERTENSION EMERGENCY & URGENCY
HYPERTENSION EMERGENCY & URGENCY
 
Sodium correction formula
Sodium correction formulaSodium correction formula
Sodium correction formula
 
Blood Pressure Management in Stroke
Blood Pressure Management in Stroke Blood Pressure Management in Stroke
Blood Pressure Management in Stroke
 
Pulmonary edema
Pulmonary edemaPulmonary edema
Pulmonary edema
 
GENERALISED TONIC CLONIC SEIZURES
GENERALISED TONIC CLONIC SEIZURESGENERALISED TONIC CLONIC SEIZURES
GENERALISED TONIC CLONIC SEIZURES
 
RESISTANT HYPERTENSION
RESISTANT HYPERTENSIONRESISTANT HYPERTENSION
RESISTANT HYPERTENSION
 
chronic kidney disease.ppt
chronic kidney disease.pptchronic kidney disease.ppt
chronic kidney disease.ppt
 
Alcohol withdrawal
Alcohol withdrawalAlcohol withdrawal
Alcohol withdrawal
 
Hypertensive Crisis.ppt
Hypertensive Crisis.pptHypertensive Crisis.ppt
Hypertensive Crisis.ppt
 
Ischemic Heart Disease
Ischemic Heart DiseaseIschemic Heart Disease
Ischemic Heart Disease
 
Hypertensive emergencies
Hypertensive emergenciesHypertensive emergencies
Hypertensive emergencies
 
DKA
DKADKA
DKA
 
Status Epilepticus
Status EpilepticusStatus Epilepticus
Status Epilepticus
 
Hypertension lecture
Hypertension lecture Hypertension lecture
Hypertension lecture
 
Hypertension
Hypertension Hypertension
Hypertension
 
Hepatic encephalopathy
Hepatic encephalopathyHepatic encephalopathy
Hepatic encephalopathy
 
Cardiorenal syndrome
Cardiorenal syndromeCardiorenal syndrome
Cardiorenal syndrome
 
Honk
HonkHonk
Honk
 
Indian childhood cirrhosis
Indian childhood cirrhosisIndian childhood cirrhosis
Indian childhood cirrhosis
 

Destacado

Epilepsy Presentation
Epilepsy  PresentationEpilepsy  Presentation
Epilepsy PresentationMyeshi Briley
 
Epilepsy.ppt
Epilepsy.pptEpilepsy.ppt
Epilepsy.pptShama
 
EMERGENCY MANAGEMENT OF SEIZURES
EMERGENCY MANAGEMENT OF SEIZURESEMERGENCY MANAGEMENT OF SEIZURES
EMERGENCY MANAGEMENT OF SEIZURESEke Eghosasere Paul
 
Management of seizures
Management of seizuresManagement of seizures
Management of seizuresPraveen Nagula
 
Investigation,managemnt and vaccination of influenza (2)
Investigation,managemnt and vaccination of influenza (2)Investigation,managemnt and vaccination of influenza (2)
Investigation,managemnt and vaccination of influenza (2)Gnandas Barman
 
Epilepsy General information in English
Epilepsy General information in EnglishEpilepsy General information in English
Epilepsy General information in EnglishDocConsult Services
 
Care & prevention of epilepsy
Care & prevention of epilepsyCare & prevention of epilepsy
Care & prevention of epilepsyEmmanuel Sevor
 
Epilepsy management by dr anoop.k.r
Epilepsy management by dr anoop.k.rEpilepsy management by dr anoop.k.r
Epilepsy management by dr anoop.k.ranoop k r
 
starting and continuing treatment in epilepsy
starting and continuing treatment in epilepsystarting and continuing treatment in epilepsy
starting and continuing treatment in epilepsysankalpgmc8
 
Cautionary and advisory labels for medicines
Cautionary and advisory labels for medicinesCautionary and advisory labels for medicines
Cautionary and advisory labels for medicinesKiran Sharma
 
Epilepsy & its management
Epilepsy & its managementEpilepsy & its management
Epilepsy & its managementWaliullah Wali
 
Patient information leaflets
Patient information leafletsPatient information leaflets
Patient information leafletsKiran Sharma
 
Epilepsy recent advances and existing pharmacotherapy
Epilepsy recent advances and existing pharmacotherapyEpilepsy recent advances and existing pharmacotherapy
Epilepsy recent advances and existing pharmacotherapyDr. Siddhartha Dutta
 
New Treatment Devices and Clinical Trials
New Treatment Devices and Clinical Trials New Treatment Devices and Clinical Trials
New Treatment Devices and Clinical Trials jgreenberger
 
Pathophysiology of tonic clonic seizure
Pathophysiology of tonic clonic seizure Pathophysiology of tonic clonic seizure
Pathophysiology of tonic clonic seizure Abigail Abalos
 

Destacado (20)

Epilepsy Presentation
Epilepsy  PresentationEpilepsy  Presentation
Epilepsy Presentation
 
Epilepsy.ppt
Epilepsy.pptEpilepsy.ppt
Epilepsy.ppt
 
EMERGENCY MANAGEMENT OF SEIZURES
EMERGENCY MANAGEMENT OF SEIZURESEMERGENCY MANAGEMENT OF SEIZURES
EMERGENCY MANAGEMENT OF SEIZURES
 
Management of seizures
Management of seizuresManagement of seizures
Management of seizures
 
Epilepsy.....
Epilepsy.....Epilepsy.....
Epilepsy.....
 
Epilepsy Management
Epilepsy ManagementEpilepsy Management
Epilepsy Management
 
Investigation,managemnt and vaccination of influenza (2)
Investigation,managemnt and vaccination of influenza (2)Investigation,managemnt and vaccination of influenza (2)
Investigation,managemnt and vaccination of influenza (2)
 
Epilepsy General information in English
Epilepsy General information in EnglishEpilepsy General information in English
Epilepsy General information in English
 
Care & prevention of epilepsy
Care & prevention of epilepsyCare & prevention of epilepsy
Care & prevention of epilepsy
 
Epilepsy management by dr anoop.k.r
Epilepsy management by dr anoop.k.rEpilepsy management by dr anoop.k.r
Epilepsy management by dr anoop.k.r
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
starting and continuing treatment in epilepsy
starting and continuing treatment in epilepsystarting and continuing treatment in epilepsy
starting and continuing treatment in epilepsy
 
Cautionary and advisory labels for medicines
Cautionary and advisory labels for medicinesCautionary and advisory labels for medicines
Cautionary and advisory labels for medicines
 
Epilepsy & its management
Epilepsy & its managementEpilepsy & its management
Epilepsy & its management
 
Patient information leaflets
Patient information leafletsPatient information leaflets
Patient information leaflets
 
Management of epilepsy
Management of epilepsyManagement of epilepsy
Management of epilepsy
 
Epilepsy recent advances and existing pharmacotherapy
Epilepsy recent advances and existing pharmacotherapyEpilepsy recent advances and existing pharmacotherapy
Epilepsy recent advances and existing pharmacotherapy
 
New Treatment Devices and Clinical Trials
New Treatment Devices and Clinical Trials New Treatment Devices and Clinical Trials
New Treatment Devices and Clinical Trials
 
Nebulizer Therapy in Spontaneous Breathing Patients PI
Nebulizer Therapy in Spontaneous Breathing Patients PINebulizer Therapy in Spontaneous Breathing Patients PI
Nebulizer Therapy in Spontaneous Breathing Patients PI
 
Pathophysiology of tonic clonic seizure
Pathophysiology of tonic clonic seizure Pathophysiology of tonic clonic seizure
Pathophysiology of tonic clonic seizure
 

Similar a ER treatment of Epilepsy

Epilepsy2
Epilepsy2Epilepsy2
Epilepsy2udom
 
Epilepsy
EpilepsyEpilepsy
Epilepsymed
 
FEBRILE SEIZURES and status epilepticus 2022.ppt
FEBRILE SEIZURES and status epilepticus 2022.pptFEBRILE SEIZURES and status epilepticus 2022.ppt
FEBRILE SEIZURES and status epilepticus 2022.pptahmadalmarabha1
 
Status epilapticus
Status epilapticusStatus epilapticus
Status epilapticusmaliha shah
 
status epilepticus...
status epilepticus...status epilepticus...
status epilepticus...NeurologyKota
 
Status epilepticus final
Status epilepticus finalStatus epilepticus final
Status epilepticus finalTaha Bashir
 
Status epilepticus and treatment
Status epilepticus and treatmentStatus epilepticus and treatment
Status epilepticus and treatmentİsa Badur
 
Status epilepticus management treatment
Status epilepticus management treatment Status epilepticus management treatment
Status epilepticus management treatment ZIKRULLAH MALLICK
 
Status epilapticus print
Status epilapticus printStatus epilapticus print
Status epilapticus printRavindra Sharma
 
Approach to patient with convulsion
Approach to patient with convulsionApproach to patient with convulsion
Approach to patient with convulsionAli Abdallah
 
SEIZURE DISORDER MEDICAL AND SURGICAL MANAGEMENT
SEIZURE DISORDER MEDICAL AND SURGICAL MANAGEMENTSEIZURE DISORDER MEDICAL AND SURGICAL MANAGEMENT
SEIZURE DISORDER MEDICAL AND SURGICAL MANAGEMENTKush Bhagat
 

Similar a ER treatment of Epilepsy (20)

Epilepsy2
Epilepsy2Epilepsy2
Epilepsy2
 
Epilepsy2
Epilepsy2Epilepsy2
Epilepsy2
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
FEBRILE SEIZURES and status epilepticus 2022.ppt
FEBRILE SEIZURES and status epilepticus 2022.pptFEBRILE SEIZURES and status epilepticus 2022.ppt
FEBRILE SEIZURES and status epilepticus 2022.ppt
 
1. Status Epilepticus-Nutshell.pptx
1. Status Epilepticus-Nutshell.pptx1. Status Epilepticus-Nutshell.pptx
1. Status Epilepticus-Nutshell.pptx
 
Status epilapticus
Status epilapticusStatus epilapticus
Status epilapticus
 
status epilepticus...
status epilepticus...status epilepticus...
status epilepticus...
 
Status epilepticus final
Status epilepticus finalStatus epilepticus final
Status epilepticus final
 
Status epilepticus and treatment
Status epilepticus and treatmentStatus epilepticus and treatment
Status epilepticus and treatment
 
Status Epilepticus
Status EpilepticusStatus Epilepticus
Status Epilepticus
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
Status epilepticus management treatment
Status epilepticus management treatment Status epilepticus management treatment
Status epilepticus management treatment
 
Status epilapticus print
Status epilapticus printStatus epilapticus print
Status epilapticus print
 
Approach to patient with convulsion
Approach to patient with convulsionApproach to patient with convulsion
Approach to patient with convulsion
 
Status epilapticus
Status epilapticusStatus epilapticus
Status epilapticus
 
Status epilepticus
Status epilepticusStatus epilepticus
Status epilepticus
 
Status epilapticus
Status epilapticusStatus epilapticus
Status epilapticus
 
SEIZURE DISORDER MEDICAL AND SURGICAL MANAGEMENT
SEIZURE DISORDER MEDICAL AND SURGICAL MANAGEMENTSEIZURE DISORDER MEDICAL AND SURGICAL MANAGEMENT
SEIZURE DISORDER MEDICAL AND SURGICAL MANAGEMENT
 

Más de Richard Brown

MS or Lyme or neither?
MS or Lyme or neither?MS or Lyme or neither?
MS or Lyme or neither?Richard Brown
 
Frontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesionFrontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesionRichard Brown
 
Neurological Examination
Neurological Examination Neurological Examination
Neurological Examination Richard Brown
 
Guillain Barre Syndrome
Guillain Barre SyndromeGuillain Barre Syndrome
Guillain Barre SyndromeRichard Brown
 
Epilepsy Vs Narcolepsy
Epilepsy Vs NarcolepsyEpilepsy Vs Narcolepsy
Epilepsy Vs NarcolepsyRichard Brown
 
Progressive Spastic Paraparesis
Progressive Spastic ParaparesisProgressive Spastic Paraparesis
Progressive Spastic ParaparesisRichard Brown
 
A 60 year old man with Progressive Dementia and sillly behavior
A 60 year old man with Progressive Dementia and sillly behaviorA 60 year old man with Progressive Dementia and sillly behavior
A 60 year old man with Progressive Dementia and sillly behaviorRichard Brown
 
Progressive cerebellar syndrome:- Case Discussion
Progressive cerebellar syndrome:- Case DiscussionProgressive cerebellar syndrome:- Case Discussion
Progressive cerebellar syndrome:- Case DiscussionRichard Brown
 
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...Richard Brown
 
Cerebrovascular disease (CVA / Stroke)
Cerebrovascular disease (CVA / Stroke)Cerebrovascular disease (CVA / Stroke)
Cerebrovascular disease (CVA / Stroke)Richard Brown
 

Más de Richard Brown (20)

MS or Lyme or neither?
MS or Lyme or neither?MS or Lyme or neither?
MS or Lyme or neither?
 
Frontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesionFrontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesion
 
Sensory system
Sensory systemSensory system
Sensory system
 
ADHD in Adults
ADHD in AdultsADHD in Adults
ADHD in Adults
 
Neurological Examination
Neurological Examination Neurological Examination
Neurological Examination
 
Gbs Eps Am
Gbs Eps AmGbs Eps Am
Gbs Eps Am
 
Vertigo
VertigoVertigo
Vertigo
 
Headache Jc
Headache JcHeadache Jc
Headache Jc
 
Guillain Barre Syndrome
Guillain Barre SyndromeGuillain Barre Syndrome
Guillain Barre Syndrome
 
Coma Bp
Coma BpComa Bp
Coma Bp
 
Acute Headache Mw
Acute Headache MwAcute Headache Mw
Acute Headache Mw
 
Epilepsy Vs Narcolepsy
Epilepsy Vs NarcolepsyEpilepsy Vs Narcolepsy
Epilepsy Vs Narcolepsy
 
Progressive Spastic Paraparesis
Progressive Spastic ParaparesisProgressive Spastic Paraparesis
Progressive Spastic Paraparesis
 
Foot Drop
Foot DropFoot Drop
Foot Drop
 
PD lecture Atnc
PD lecture AtncPD lecture Atnc
PD lecture Atnc
 
A 60 year old man with Progressive Dementia and sillly behavior
A 60 year old man with Progressive Dementia and sillly behaviorA 60 year old man with Progressive Dementia and sillly behavior
A 60 year old man with Progressive Dementia and sillly behavior
 
Progressive cerebellar syndrome:- Case Discussion
Progressive cerebellar syndrome:- Case DiscussionProgressive cerebellar syndrome:- Case Discussion
Progressive cerebellar syndrome:- Case Discussion
 
Movement Disorders
Movement DisordersMovement Disorders
Movement Disorders
 
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...
 
Cerebrovascular disease (CVA / Stroke)
Cerebrovascular disease (CVA / Stroke)Cerebrovascular disease (CVA / Stroke)
Cerebrovascular disease (CVA / Stroke)
 

Último

Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...parulsinha
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...khalifaescort01
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...chennailover
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 
Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510Vipesco
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Availableperfect solution
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Anamika Rawat
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableJanvi Singh
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...adilkhan87451
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...mahaiklolahd
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappInaaya Sharma
 
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...khalifaescort01
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 

Último (20)

Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
 
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 

ER treatment of Epilepsy

  • 1. Treatment of Epilepsy in ER Submitted to AskTheNeurologist.Com in 2007 Author Anon.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16. Benzodiazepines Can be used alone Necessitates use of a second long-acting drug Longer duration of action Rapid redistribution into body fat Less rapid penetration into brain More rapid penetration into brain Less lipid soluble More lipid soluble Lorazepam Diazepam
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23. Recommend saline and dopamine infusion Myocardial depression Vasodilatation Decreased venous return Decreased cardiac perfusion Associated with profound systemic side effects Assessment clinical and on basis of EEG Potent Doses adjusted on basis of EEG responses Tachyphylaxis necessitates dose variation Pentobarbital Propofol Midazolam
  • 24.
  • 25. Submitted to AskTheNeurologist.Com in 2007 Author Anon.