Status Epilepticus in Adults: A Review of Diagnosis and Treatment
Status epilepticus is a medical emergency that requires rapid diagnosis and treatment. Nonconvulsive status epilepticus is frequently underdiagnosed and therefore undertreated, which can lead to permanent neuronal damage resulting in disability or death. Despite the frequent occurrence and morbidity...
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| Veröffentlicht in: | Critical care nurse 2016-04, Vol.36 (2), p.62-73 |
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| creator | Lawson, Thomas Yeager, Susan |
| description | Status epilepticus is a medical emergency that requires rapid diagnosis and treatment. Nonconvulsive status epilepticus is frequently underdiagnosed and therefore undertreated, which can lead to permanent neuronal damage resulting in disability or death. Despite the frequent occurrence and morbidity associated with status epilepticus, this topic has received little attention within the literature. A systematic approach to treatment should start with management of airway, breathing, and circulation, followed by administration of benzodiazepines and intravenous antiepileptic drugs, and rapid escalation of therapy to prevent morbidity and mortality. Armed with the information in this article, nurses will have a higher-level understanding of what to do when encountering a patient in status epilepticus. |
| doi_str_mv | 10.4037/ccn2016892 |
| format | Article |
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Nonconvulsive status epilepticus is frequently underdiagnosed and therefore undertreated, which can lead to permanent neuronal damage resulting in disability or death. Despite the frequent occurrence and morbidity associated with status epilepticus, this topic has received little attention within the literature. A systematic approach to treatment should start with management of airway, breathing, and circulation, followed by administration of benzodiazepines and intravenous antiepileptic drugs, and rapid escalation of therapy to prevent morbidity and mortality. 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Nonconvulsive status epilepticus is frequently underdiagnosed and therefore undertreated, which can lead to permanent neuronal damage resulting in disability or death. Despite the frequent occurrence and morbidity associated with status epilepticus, this topic has received little attention within the literature. A systematic approach to treatment should start with management of airway, breathing, and circulation, followed by administration of benzodiazepines and intravenous antiepileptic drugs, and rapid escalation of therapy to prevent morbidity and mortality. Armed with the information in this article, nurses will have a higher-level understanding of what to do when encountering a patient in status epilepticus.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anticonvulsants - therapeutic use</subject><subject>Critical Care Nursing - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Respiration, Artificial - methods</subject><subject>Status Epilepticus - diagnosis</subject><subject>Status Epilepticus - drug therapy</subject><subject>Status Epilepticus - therapy</subject><issn>0279-5442</issn><issn>1940-8250</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0EtLxDAUBeAgijM-Nv4AyVKEapKmTeKujOMDBgQd1yVNbiTSl02q-O-tzKhbV_cuvnMWB6ETSi44ScWlMS0jNJeK7aA5VZwkkmVkF80JEyrJOGczdBDCKyGUS0n30YyJKZdyMkfFU9RxDHjZ-xr66M30-xYXdqxjuMIFfoR3Dx-4c_ja65e2Cz5g3Vq8HkDHBtp4hPacrgMcb-8her5Zrhd3yerh9n5RrBKTMhITQy2lXFDrHEjHFEmpzFSeaykrYQ2TSlumlHHCVJkVrBKOA6tyMMZw6mh6iM42vf3QvY0QYtn4YKCudQvdGEoqhJIiz3L1HzrZTGZioucbaoYuhAFc2Q--0cNnSUn5vW75t-6ET7e9Y9WA_aU_c6ZfvBNz1w</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Lawson, Thomas</creator><creator>Yeager, Susan</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201604</creationdate><title>Status Epilepticus in Adults: A Review of Diagnosis and Treatment</title><author>Lawson, Thomas ; Yeager, Susan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-c1d11471dffe8f2903185966a88b7dc289ad299cf7cb5d72b7f4e2b6eccc41f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anticonvulsants - therapeutic use</topic><topic>Critical Care Nursing - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Respiration, Artificial - methods</topic><topic>Status Epilepticus - diagnosis</topic><topic>Status Epilepticus - drug therapy</topic><topic>Status Epilepticus - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lawson, Thomas</creatorcontrib><creatorcontrib>Yeager, Susan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Critical care nurse</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lawson, Thomas</au><au>Yeager, Susan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Status Epilepticus in Adults: A Review of Diagnosis and Treatment</atitle><jtitle>Critical care nurse</jtitle><addtitle>Crit Care Nurse</addtitle><date>2016-04</date><risdate>2016</risdate><volume>36</volume><issue>2</issue><spage>62</spage><epage>73</epage><pages>62-73</pages><issn>0279-5442</issn><eissn>1940-8250</eissn><abstract>Status epilepticus is a medical emergency that requires rapid diagnosis and treatment. 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| fulltext | fulltext |
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| ispartof | Critical care nurse, 2016-04, Vol.36 (2), p.62-73 |
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| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection; Journals@Ovid Complete |
| subjects | Adult Aged Aged, 80 and over Anticonvulsants - therapeutic use Critical Care Nursing - methods Female Humans Male Middle Aged Nursing Respiration, Artificial - methods Status Epilepticus - diagnosis Status Epilepticus - drug therapy Status Epilepticus - therapy |
| title | Status Epilepticus in Adults: A Review of Diagnosis and Treatment |
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