ALGORITME PENANGANAN KEJANG AKUT & STATUS KONVULSIF 3

Prehospital Diazepam 510mg/rekt 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 EKG Gula darah Elektrolit serum (Na, K, Ca, Mg, Cl) Analisa Gas Darah Koreksi kelainan Pulse oxymetri

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

KEJANG (-) 5 7 mg/kg 12 jam kemudian ICU/ED Note : Aditional 5-10mg/kg/iv

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

20-30 mnt

Kadar obat darah

KEJANG (-) 4 5 mg/kg 12 jam kemudian ICU Midazolam 0,2mg/kg/iv bolus Dilanjut infus 0,02-0,4 mg/kg/jam

30-60 mnt

Propofol 3-5mg/kg/infusion