ABSTRACT
Scans may be normal and are not first priority in the treatment of Status epilepticus (SE); they are to evaluate potential causes for SE. The management of SE involves swift intervention with clinician assessment, maintenance of patient safety, and minimization of sequelae. Treating the cause, if possible, will prevent recurrence as well as maximize patient outcome. The initial antiepileptic drug (AED) administration is a benzodiazepine. When intravenous (IV) access is available, it is the preferred route and lorazepam is the preferred medication. However, medication can also be administered via intramuscular, rectal, buccal, or nasal routes when IV access is not available. There are three types of SE: convulsive SE, non-convulsive SE, and medically refractory SE. For patients who have been on an AED and are in SE, prior to adding a second agent, give an IV bolus of that AED or half the loading dose, if available.
