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Rapidperipheralintravenousaccessismandatory,notonlyforfluidresuscitationandcreationofarouteformedication
therapy,butalsoforcollectionthebloodsamplesinordertoassessSEetiology.
TheessentialdiagnosticworkupforSEincludesfingerstickglucosetesting,laboratorytesting(bloodglucose,completebloodcount,
liver/renalfunction,electrolytes,creatinephosphokinase,anddruglevelsforAEDs),andheadcomputedtomography(CT)scanning
(especiallyforpatientswithdenovoSE).AdditionalteststhatareadvisableforindividualSEpatientsincludemagneticresonance
imaging(MRI)ofthehead,lumbarpuncture,toxicologyscreening,arterialbloodgastesting,andelectrocardiography (9).Iftheseizure
persistsdespiteaggressivetreatment,continuousEEGmonitoringisrecommended (9),especiallywhentheconvulsiveSEevolvesinto
subtlenonconvulsiveSE,orifpatientsundergocontinuousanesthesiatherapy.
Treatmentduringthefirststage:earlystatusepilepticus
<70mmHg(9).Rapidperipheralintravenousaccessismandatory,notonlyforfluidresuscitationandcreationofarouteformedication
therapy,butalsoforcollectionthebloodsamplesinordertoassessSEetiology.
TheessentialdiagnosticworkupforSEincludesfingerstickglucosetesting,laboratorytesting(bloodglucose,completebloodcount,
liver/renalfunction,electrolytes,creatinephosphokinase,anddruglevelsforAEDs),andheadcomputedtomography(CT)scanning
(especiallyforpatientswithdenovoSE).AdditionalteststhatareadvisableforindividualSEpatientsincludemagneticresonance
imaging(MRI)ofthehead,lumbarpuncture,toxicologyscreening,arterialbloodgastesting,andelectrocardiography (9).Iftheseizure
persistsdespiteaggressivetreatment,continuousEEGmonitoringisrecommended (9),especiallywhentheconvulsiveSEevolvesinto
subtlenonconvulsiveSE,orifpatientsundergocontinuousanesthesiatherapy.
Treatmentduringthefirststage:earlystatusepilepticus
<70mmHg(9).Rapidperipheralintravenousaccessismandatory,notonlyforfluidresuscitationandcreationofarouteformedication
therapy,butalsoforcollectionthebloodsamplesinordertoassessSEetiology.
TheessentialdiagnosticworkupforSEincludesfingerstickglucosetesting,laboratorytesting(bloodglucose,completebloodcount,
liver/renalfunction,electrolytes,creatinephosphokinase,anddruglevelsforAEDs),andheadcomputedtomography(CT)scanning
(especiallyforpatientswithdenovoSE).AdditionalteststhatareadvisableforindividualSEpatientsincludemagneticresonance
imaging(MRI)ofthehead,lumbarpuncture,toxicologyscreening,arterialbloodgastesting,andelectrocardiography (9).Iftheseizure
persistsdespiteaggressivetreatment,continuousEEGmonitoringisrecommended (9),especiallywhentheconvulsiveSEevolvesinto
subtlenonconvulsiveSE,orifpatientsundergocontinuousanesthesiatherapy.
Treatmentduringthefirststage:earlystatusepilepticus
<70mmHg(9).Rapidperipheralintravenousaccessismandatory,notonlyforfluidresuscitationandcreationofarouteformedication
therapy,butalsoforcollectionthebloodsamplesinordertoassessSEetiology.
TheessentialdiagnosticworkupforSEincludesfingerstickglucosetesting,laboratorytesting(bloodglucose,completebloodcount,
liver/renalfunction,electrolytes,creatinephosphokinase,anddruglevelsforAEDs),andheadcomputedtomography(CT)scanning
(especiallyforpatientswithdenovoSE).AdditionalteststhatareadvisableforindividualSEpatientsincludemagneticresonance
imaging(MRI)ofthehead,lumbarpuncture,toxicologyscreening,arterialbloodgastesting,andelectrocardiography (9).Iftheseizure
persistsdespiteaggressivetreatment,continuousEEGmonitoringisrecommended (9),especiallywhentheconvulsiveSEevolvesinto
subtlenonconvulsiveSE,orifpatientsundergocontinuousanesthesiatherapy.
Treatmentduringthefirststage:earlystatusepilepticus
<70mmHg(9).Rapidperipheralintravenousaccessismandatory,notonlyforfluidresuscitationandcreationofarouteformedication
therapy,butalsoforcollectionthebloodsamplesinordertoassessSEetiology.
TheessentialdiagnosticworkupforSEincludesfingerstickglucosetesting,laboratorytesting(bloodglucose,completebloodcount,
liver/renalfunction,electrolytes,creatinephosphokinase,anddruglevelsforAEDs),andheadcomputedtomography(CT)scanning
(especiallyforpatientswithdenovoSE).AdditionalteststhatareadvisableforindividualSEpatientsincludemagneticresonance
imaging(MRI)ofthehead,lumbarpuncture,toxicologyscreening,arterialbloodgastesting,andelectrocardiography (9).Iftheseizure
persistsdespiteaggressivetreatment,continuousEEGmonitoringisrecommended (9),especiallywhentheconvulsiveSEevolvesinto
subtlenonconvulsiveSE,orifpatientsundergocontinuousanesthesiatherapy.
Treatmentduringthefirststage:earlystatusepilepticus
<70mmHg(9).Rapidperipheralintravenousaccessismandatory,notonlyforfluidresuscitationandcreationofarouteformedication
therapy,butalsoforcollectionthebloodsamplesinordertoassessSEetiology.
TheessentialdiagnosticworkupforSEincludesfingerstickglucosetesting,laboratorytesting(bloodglucose,completebloodcount,
liver/renalfunction,electrolytes,creatinephosphokinase,anddruglevelsforAEDs),andheadcomputedtomography(CT)scanning
(especiallyforpatientswithdenovoSE).AdditionalteststhatareadvisableforindividualSEpatientsincludemagneticresonance
imaging(MRI)ofthehead,lumbarpuncture,toxicologyscreening,arterialbloodgastesting,andelectrocardiography (9).Iftheseizure
persistsdespiteaggressivetreatment,continuousEEGmonitoringisrecommended (9),especiallywhentheconvulsiveSEevolvesinto
subtlenonconvulsiveSE,orifpatientsundergocontinuousanesthesiatherapy.
Treatmentduringthefirststage:earlystatusepilepticus
<70mmHg(9).Rapidperipheralintravenousaccessismandatory,notonlyforfluidresuscitationandcreationofarouteformedication
therapy,butalsoforcollectionthebloodsamplesinordertoassessSEetiology.
TheessentialdiagnosticworkupforSEincludesfingerstickglucosetesting,laboratorytesting(bloodglucose,completebloodcount,
liver/renalfunction,electrolytes,creatinephosphokinase,anddruglevelsforAEDs),andheadcomputedtomography(CT)scanning
(especiallyforpatientswithdenovoSE).AdditionalteststhatareadvisableforindividualSEpatientsincludemagneticresonance
imaging(MRI)ofthehead,lumbarpuncture,toxicologyscreening,arterialbloodgastesting,andelectrocardiography (9).Iftheseizure
persistsdespiteaggressivetreatment,continuousEEGmonitoringisrecommended (9),especiallywhentheconvulsiveSEevolvesinto
subtlenonconvulsiveSE,orifpatientsundergocontinuousanesthesiatherapy.
Treatmentduringthefirststage:earlystatusepilepticus
<70mmHg(9).Rapidperipheralintravenousaccessismandatory,notonlyforfluidresuscitationandcreationofarouteformedication
therapy,butalsoforcollectionthebloodsamplesinordertoassessSEetiology.
TheessentialdiagnosticworkupforSEincludesfingerstickglucosetesting,laboratorytesting(bloodglucose,completebloodcount,
liver/renalfunction,electrolytes,creatinephosphokinase,anddruglevelsforAEDs),andheadcomputedtomography(CT)scanning
(especiallyforpatientswithdenovoSE).AdditionalteststhatareadvisableforindividualSEpatientsincludemagneticresonance
imaging(MRI)ofthehead,lumbarpuncture,toxicologyscreening,arterialbloodgastesting,andelectrocardiography (9).Iftheseizure
persistsdespiteaggressivetreatment,continuousEEGmonitoringisrecommended (9),especiallywhentheconvulsiveSEevolvesinto
subtlenonconvulsiveSE,orifpatientsundergocontinuousanesthesiatherapy.
Treatmentduringthefirststage:earlystatusepilepticus
<70mmHg(9).Rapidperipheralintravenousaccessismandatory,notonlyforfluidresuscitationandcreationofarouteformedication
therapy,butalsoforcollectionthebloodsamplesinordertoassessSEetiology.
TheessentialdiagnosticworkupforSEincludesfingerstickglucosetesting,laboratorytesting(bloodglucose,completebloodcount,
liver/renalfunction,electrolytes,creatinephosphokinase,anddruglevelsforAEDs),andheadcomputedtomography(CT)scanning
(especiallyforpatientswithdenovoSE).AdditionalteststhatareadvisableforindividualSEpatientsincludemagneticresonance
imaging(MRI)ofthehead,lumbarpuncture,toxicologyscreening,arterialbloodgastesting,andelectrocardiography (9).Iftheseizure
persistsdespiteaggressivetreatment,continuousEEGmonitoringisrecommended (9),especiallywhentheconvulsiveSEevolvesinto
subtlenonconvulsiveSE,orifpatientsundergocontinuousanesthesiatherapy.
Treatmentduringthefirststage:earlystatusepilepticus
<70mmHg(9).Rapidperipheralintravenousaccessismandatory,notonlyforfluidresuscitationandcreationofarouteformedication
therapy,butalsoforcollectionthebloodsamplesinordertoassessSEetiology.
TheessentialdiagnosticworkupforSEincludesfingerstickglucosetesting,laboratorytesting(bloodglucose,completebloodcount,
liver/renalfunction,electrolytes,creatinephosphokinase,anddruglevelsforAEDs),andheadcomputedtomography(CT)scanning
(especiallyforpatientswithdenovoSE).AdditionalteststhatareadvisableforindividualSEpatientsincludemagneticresonance
imaging(MRI)ofthehead,lumbarpuncture,toxicologyscreening,arterialbloodgastesting,andelectrocardiography (9).Iftheseizure
persistsdespiteaggressivetreatment,continuousEEGmonitoringisrecommended (9),especiallywhentheconvulsiveSEevolvesinto
subtlenonconvulsiveSE,orifpatientsundergocontinuousanesthesiatherapy.
Treatmentduringthefirststage:earlystatusepilepticus
<70mmHg(9).Rapidperipheralintravenousaccessismandatory,notonlyforfluidresuscitationandcreationofarouteformedication
therapy,butalsoforcollectionthebloodsamplesinordertoassessSEetiology.
TheessentialdiagnosticworkupforSEincludesfingerstickglucosetesting,laboratorytesting(bloodglucose,completebloodcount,
liver/renalfunction,electrolytes,creatinephosphokinase,anddruglevelsforAEDs),andheadcomputedtomography(CT)scanning
(especiallyforpatientswithdenovoSE).AdditionalteststhatareadvisableforindividualSEpatientsincludemagneticresonance
imaging(MRI)ofthehead,lumbarpuncture,toxicologyscreening,arterialbloodgastesting,andelectrocardiography (9).Iftheseizure
persistsdespiteaggressivetreatment,continuousEEGmonitoringisrecommended (9),especiallywhentheconvulsiveSEevolvesinto
subtlenonconvulsiveSE,orifpatientsundergocontinuousanesthesiatherapy.
Treatmentduringthefirststage:earlystatusepilepticus