Seizure, New Onset

Seizure, New
[ ] No HIV risk factors. No steroids or immunosuppression. No raw meats.
[ ] INH/TB. Malaria risks. No strokes or stroke risks. Not pregnant.
[ ] Normal neuro exam, OP clear. No tongue biting, incontinence. No extremity injuries / dislocations.
[ ] FS
[ ] Ativan 2 mg IV
[ ] Keppra 1 gram IV or Dilantin 1 gram IV
[ ] cbc chem 10 (Na+ Ca++) LFTs *coags*
[ ] Ucg
[ ] serum tox
[ ] stat head CT
[ ] EKG
- Sz can be caused by global hypoperfusion or TCA o.d.
[ ] Magnesium 2 grams IV if eclamptic
[ ] Pyridoxine 5 grams*
- Or = to amount of INH ingested in overdose situation.
- In kids, 70 mg/kg
[ ] 3% Saline, 50-100 cc IV push, for seizing and hyponatremia

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