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Q.1) What does Status epileptics mean?

Ans :  Status epileptics exist when a series of seizures occurs without the patient regaining awareness between attacks.
  
Q.2) What are the causes of Status epileptics?
Ans:  Usual causes are:
  • Abrupt withdrawal of anti convulsant drugs.
  • Major intracranial disasters (e.g. cerebral hemorrhage).
  
Q.3) What are the treatment measures?
Ans: Status epileptics is a medical emergency, hence patient should be hospitalized at the earliest. Further management in the hospital is generally as follows:
  • Maintenance of airway with oropharyngeal tube.
  • Administration of high flow oxygen.
  • Monitoring of BP, ECG, EEG and blood gases.
  • Drugs generally used are 
    • Benzodiazepines.
    • Diphenylhydantoins
    • Ultra-short acting thio-barbiturate
 

 

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