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ALGORITME PENANGANAN KEJANG AKUT & STATUS KONVULSIF

Prehospital Diazepam 5-0mg/rektal max 2x jarak 5 menit 0-10 mnt

Hospital/ED

Airway Breathing, O2 Circulation

Diazepam 0,25-0,5mg/kg/iv/io (kec 2mg/mnt, max dosis 20mg) atau Midazolam 0,2mg/kg/iv bolus atau Lorazepam 0,05-0,1mg/kg/iv (rate <2mg/mnt)

10-20 mnt

Monitor
Tanda vital Saturasi O2 EKG GDS elektrolit AGD Koreksi kelainan

NOTE : JIKA DIAZ RECTAL 1X PRE HOSPITAL BOLEH RECTAL 1X

ICU/ED

Note : Aditional 5-10mg/kg/iv

Fenitoin 20-30mg/kg/iv (20mnt /50ml NS) Max 1000mg Phenobarbitone 20-30mg/kg/iv (rate >5-10min; max 1g) Refrakter Pentotal - Tiopental 5 8 mg/kg/iv

20-30 mnt

Kadar obat darah

Note : Jika preparat (+) ICU Midazolam 0,2mg/kg/iv bolus Dilanjut infus 0,02-0,4 mg/kg/jam

30-60 mnt

Propofol 3-5mg/kg/infusion