What should I do if I am in status epilepticus?

First aid measures for status epilepticus include: 1. Quickly move the patient to a safe environment, lie on his back, and turn his head to one side to prevent aspiration of vomit and cause suffocation; 2. Call the first aid in time, and at the same time use the mobile phone to record the patient's seizure completely, which is helpful for the doctor's diagnosis and treatment; 3. Do not hold down or restrict the patient during convulsive attacks, so as not to cause damage to the skeletal muscles or soft tissues; 4. Do not place any items between the teeth or in the mouth to avoid tooth damage and aspiration.

Some first aid measures: untie the collar and belt to facilitate easy breathing, keep lying flat, remove the surrounding dangers to prevent bumps, turn your head to one side so that secretions can flow out of your mouth to avoid suffocation, and call 120 directly if it lasts too long.

If these situations occur, as a family member, the patient should be moved to an open place, and the emergency should be called in time, and the patient should be sent to the hospital as soon as possible for timely diagnosis and treatment. In addition, the patient is having a seizure. m

What should I do if I am in status epilepticus? Epilepsy patients will foam at the mouth and fall to the ground, at which point you need to pinch him to wake him up.

So you have to know some first aid knowledge, ask and learn from the doctor, and then wait for him to deal with it in time when he gets sick.

The principle of managing epilepsy is to control seizures and prevent complications as soon as possible.

Diazepam 10 20mg intravenous injection, repeated after 30min of uncontrolled patients, followed by diazepam 100 200mg added to 500ml solution intravenous infusion.

Sodium isoamobarbital medium mold 0 25 0 5 mg intravenously, pay attention to breathing.

Paraaldehyde or chloral hydrate retains enema.

Sodium valproate 0 4 g intravenously.

At the same time, it improves cerebral edema, corrects acidosis, and controls high fever, infection, and other complications.

A seizure that lasts more than 30 minutes, or multiple seizures in a row, in which consciousness or neurological function does not return to the usual level between seizures, is called epistola status suraphra. The ** approach to status epilepticus is as follows.

1) Symptomatic treatment: prevent trauma, inhale oxygen, keep the respiratory tract unobstructed, prevent and treat cerebral edema and infection, physically cool down, and maintain water and electrolyte balance.

2) Seizure control immediately: diazepam (diagepan, diazepam), intravenous bolus 10 20 mg. Phenytoin.

Amobarbital. 10 chloral hydrate 20 30 ml (0 5 ml kg for children) retention enema. Paraaldehydes.

Lidocaine, for those who do not respond to intravenous diazepam. Clonazepam (clonagepam). The above methods are ineffective, and sulfur pentol can be used to rent rock sodium.

3) Maintenance**: Phenobarbital 0 1 0 2 intramuscular injection, once every 8 small drawbacks.

Nasogastric feeding or oral antiepileptic drugs (e.g., carbamazepine, phenytoin).

Answer]: E Analysis: Status epilepticus refers to a series of intensive or continuous seizures with very short intervals in epilepsy lasting more than 30 minutes.

In the generalized tonic-clonic of Kai Sui, he stared at Ling many times, and his consciousness was unclear in the interval. Master the knowledge points of "epilepsy and clinical manifestations".

**Principles:[1] Use rapid and effective anticonvulsant drugs to control seizures. [2] Maintain vital function, prevent and control complications, and pay special attention to the treatment of cerebral edema, acidosis, respiratory failure and high fever.

3] Actively search for ** and control the primary disease. [4] After seizure cessation, long-rise antiepileptic therapy should be performed**. Seizure control:

1] Lorazepam: times, the total amount of "4mg, intravenous push, 15min after still seizures can be used again. [2] Clonazepam:

For children, generally 2-4mg at a time, not more than 10mg, 1mg min intravenous push. It can be repeated after 20 minutes. [3] Diazepam:

Each time, 1mg min intravenously. Children under 10 years old can be calculated at 1mg per year, and children should not exceed 2mg times. It can be repeated after 20 minutes.

4] Phenytoin: loading 15-20mg kg, intravenous drip with saline, injection rate 1mg, 10mg kg for the first time, 5mg kg can be used again after 15min, 5mg kg can be used after 15min if necessary, and 5mg kg can be given after 24 hours. [5] Phenobarbital:

The loading volume is 20 mg kg, 10-15 mg kg is used for the first time, 5 mg kg can be used again after 15 minutes, and the maintenance dose is 3-5 mg after 24 hours. [6] In recent years, imidazolam has been used to stabilize status epilepticus, with good results. The first amount of intravenous infusion is available, followed by 1-5ug, to stop the alarm, generally non-toxic***, without intubation and mechanical ventilation, so this medicine is ideal.

Most epilepsy can be cured, and about 70% of epilepsy can be cured with medications. The remaining 30% require surgery.

Most do not require lifelong medication. As long as you don't overdo it, there is nothing special to pay attention to in your daily life. Do not engage in hazardous work.

It is recommended that epilepsy patients choose to seek medical treatment, and it is best to go to a regular public hospital in the country to find a regular doctor for diagnosis**.

In this way, all examinations and first-class technologies are guaranteed, so don't rush to the doctor.

In view of epilepsy, one of the five major problems in the world of neurological diseases, the Epilepsy Center of the First Affiliated Hospital of Tsinghua University in Beijing has created the "Neuroelectro-Grading Stratification Comprehensive Project" with good results.

At present, this technology has been clinically applied in the Epilepsy Center of the First Affiliated Hospital of Tsinghua University in Beijing.

If a patient is found to have status epilepticus, he should be sent to the hospital as soon as possible. If available, diazepam can be given intravenously to terminate the epileptic state as soon as possible. Patients with epilepticism are often accompanied by symptoms such as hypoxia, cerebral edema, infection, and high fever, and should pay attention to oxygen administration, prevent dehydration, control infection, and pay attention to the unobstructed respiratory tract of Baoshan Spring Stove, avoid sucking foreign bodies, prevent fractures, eliminate precipitating factors, take medication on time, do not stop or reduce medication suddenly, live a regular life, and after the seizures stop, sufficient antiepileptic drugs should be given in time to maintain**, so as not to **.

Generally speaking, people with epilepsy do not need to be hospitalized unless the seizures last more than 10 minutes or multiple seizures in a day. Prolonged generalized tonic-clonic seizures are sometimes life-threatening and prompt hospitalization**. When the child is having a seizure, it should be managed as follows:

Quickly hold your child to prevent a fall and place him on a flat floor or in a safe place.

Untie the collar and cuffs to clear the airway, turn your head and body to the side, and keep the finch open to prevent saliva and mucus from flowing into the airway.

Stay with your child until the convulsions stop.

Carefully observe which parts of the seizure twitched, whether there was consciousness and sensation, and record the duration so that it can be described to the doctor.

After the convulsions stop, do a good job of cleaning and comforting to eliminate the tension of the child.

If the convulsions persist for 10 minutes and do not relieve, or if there are multiple seizures within 10 minutes of the morning, you should call for help or be sent to the hospital immediately.

1. Tonic status epilepticus.

Epilepsy occurs more often in children and adolescents with petit mal malaise, which is less common, multiple seizures per hour and can last from days to tens of days, and the impairment of consciousness is mild, which is a symptom of status epilepticus.

2. Myoclonic status epilepticus.

Epilepsy is rare in patients and occurs in infancy and early childhood, and can occur in both infantile spasms and Lennox-Gastaut syndrome, which manifests as continuous myoclonic seizures for hours or even days, often without impaired consciousness.

3. Generalized tonic-clonic status epilepticus.

Its clinical manifestations are repeated generalized tonic-clonic seizures, 2 interictal unconsciousness, or 1 seizure lasting more than 30 minutes, which is the most common type of status epilepticus, and is also the type that most needs to be actively rescued, often causing ischemia, cerebral hypoxia, edema, and in severe cases, cerebral herniation, as well as electrolyte disorders, respiratory and circulatory failure, or death due to provocative infection.

For details, see: Jining Renai Epilepsy Hospital.