ALGORITME PENANGANAN KEJANG AKUT DAN STATUS KONVULSIF

Diazepam 5-10,mg / rectal

Prehospita 0-10 mnt
Maks @x jarak 5 menit
l

………………………………………………………………………………………………………………………………………………………….
Hospital/ED Airway Diazepam 0,25-0,5mg/kg/iv/io Monitor
10-20 mnt
Breathing,O2 (kec 2 mg/mnt, max dosis 20mg) Tanda vital
Circulation Atau EKG
Gula darah
Midazolam, 0,2mg/kg/iv bolus
Elektrolit Serum
NOTE; JIKA DIAZ RECTAL 1x PRE Atau (Na,K,Ca,mg,C.)
HOSPITAL BOLEH RECTAL 1x Analisa Gas Darah
Lorazepam 0,05-0,1mg/kg/iv
(rate<2mg/mnt) Koreksi kelainan
KEJANG (-)
Pulse Oxymetri
5-7mg/kg
12 jam kemudian Fenition
20mg/kg/iv 10-20 mnt Kadar Obat
ICUMED NOTE; Aditional 5- (20mnt/50ml NS dalam darah
10mg/kg/iv Max 1000mg

KEJANG (-) Phenobarbitone

20mg/kg/iv 30-60 mnt
4-5mg/kg
12 jam kemudian (rate>5-10 min;max 1g

Icu
Refrakter

Midazolam 0,2mg/kg/iv bolus Pentotal – Tlopental Propofol 1-5mg/kg/infusion

dilanjut infus0,02-0,4mg/kg/iv 5-8 mg/kg/iv