What are the steps for stabilizing a patient with convulsive crisis? Stabilization ABCDE Obtain venous access Monitoring Protect the patient from m...
What are the steps for stabilizing a patient with convulsive crisis?
Stabilization ABCDE
Obtain venous access
Monitoring
Protect the patient from musculoskeletal trauma
Differential diagnoses: hypoglycemia, syncope, and psychogenic causes
Correction of hyperglycemia with 50% hypertonic glucose, 5 ampoules of 10ml with 100mg of thiamine IV
Prescription
Zero oral diet
Hydration with 0.9% SF 20 to 30 ml/kg/day IV
Supplemental oxygen
First clinical stabilization
Benzodiazepine
Phenytoin
Phenobarbital
Sedation
Glycemic protocol
Assess diuresis and fluid balance
Stabilization ABCDE
Obtain venous access
Monitoring
Protect the patient from musculoskeletal trauma
Differential diagnoses: hypoglycemia, syncope, and psychogenic causes
Correction of hyperglycemia with 50% hypertonic glucose, 5 ampoules of 10ml with 100mg of thiamine IV
Prescription
Zero oral diet
Hydration with 0.9% SF 20 to 30 ml/kg/day IV
Supplemental oxygen
First clinical stabilization
Benzodiazepine
Phenytoin
Phenobarbital
Sedation
Glycemic protocol
Assess diuresis and fluid balance
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💡 1 Resposta
Ed 
Os passos para estabilizar um paciente com crise convulsiva são: 1. Estabilização ABCDE 2. Obter acesso venoso 3. Monitoramento 4. Proteger o paciente de trauma musculoesquelético 5. Diagnósticos diferenciais: hipoglicemia, síncope e causas psicogênicas 6. Correção da hiperglicemia com glicose hipertônica a 50%, 5 ampolas de 10ml com 100mg de tiamina IV 7. Prescrição 8. Dieta oral zero 9. Hidratação com SF 0,9% 20 a 30 ml/kg/dia IV 10. Oxigênio suplementar 11. Primeira estabilização clínica 12. Benzodiazepínico 13. Fenitoína 14. Fenobarbital 15. Sedação 16. Protocolo glicêmico 17. Avaliar diurese e balanço hídrico
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