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Algoritma Penanganan Kejang Akut

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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Ewa Claudia
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47 views1 page

Algoritma Penanganan Kejang Akut

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

Uploaded by

Ewa Claudia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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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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