ALGORITMS PENANGANAN KEJANG AKUT & SE KONVULSIF

Diazepam 5-10 mg/rect

Pre hospital 0-10 min
max 2x jarak 5 menit

Monitoring
Hospital/ED Diazepam 0,25-0,5 mg/kg/iv
(rate 2 mg/min, max dose 20 mg) 10-20 min Vital sign, EEG, EKG, gula
darah, serum elektrolit (Na, K,
Ca, Mg, Cl), blood gas, koreksi
Status Epileptikus kelainan pulse oxymetri

Phenitoin 20 mg/kg/iv
20-30 min Drug blood level
ICU/ED (>20 min/50 ml NS) Max 1000 mg

Phenobarbital 20 mg/kg/iv
60-90 min
(rate >5-10 min; max 1 g)

ICU Refracter

Midazolam 0,2 mg/kg/iv bolus Phenobarbital Propofol 3-5 mg/kg/infusion

Dilanjutkan infus 20 mg/kg/iv