A
PATIENT WITH STATUS EPILEPTICUS
Name : Doctor’s name:
Age : Reg No.:
Sex:
Address:
DIAGNOSIS:
STATUS EPILEPTICUS
Rx
·
INJ. LORAZEPAM 4mg/ ampoule
Dispense 2
ampoules
Inject 4mg
i.v stat
Repeat after
10 minutes
·
If convulsions do not stop
Inj. FOSPHENYTOIN
100MG/ 2ML AMPOULE
Dispense 4
ampoules
Inject 100mg
slow I.V
Repeat 4th hrly in saline IV infusion
·
General care: maintenance of airway and prevention of
injury
·
Maintain fluid, electrolyte and
acid base balance
Review
after convulsions is controlled and shift to oral therapy
Signature of the doctor
Date
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