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ALGORITMS PENANGANAN KEJANG AKUT & SE KONVULSIF

Pre hospital

Hospital/ED

Diazepam 5-10 mg/rect


max 2x jarak 5 menit

0-10 min

Monitoring

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 kelainan
pulse oxymetri

20-30 min

Drug blood level

Status Epileptikus
Phenitoin 20 mg/kg/iv
ICU/ED

(>20 min/50 ml NS) Max 1000 mg

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

ICU

60-90 min

Refracter

Midazolam 0,2 mg/kg/iv bolus

Phenobarbital

Dilanjutkan infus

20 mg/kg/iv

Propofol 3-5 mg/kg/infusion

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