• Rule out hypoglycemia using bed side random blood sugar (Green et al 2005)
• In repeated seizures, benzodiazepines are the drug of choice. With benzodiazepines therapy one should be ready to support ventilation:
Lorazepam iv 2-4mg/dose (0.05-0.1mg/kg in paeds) over 2-5min, is the benzodiazepine of choice;
or Diazepam Iv 5-10mg every 5-10min to a max of 30mg.( 0.2-0.5mg/kg) to max of 10mg in paeds older than 5 yrs and max of 5mg in under 5 yrs (Roberts and Reigart, 2013)
• Alternatively, phenobarb:adults infants and children slow IV . . .
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