Errors In Emergency Management Of Seizures

After a patient arrives for treatment, the initial assessment may be incomplete, resulting in inappropriate or inadequte therapy. Not identifying treatable infections, electrolyte imbalance, child abuse, and accidental trauma can lead to rapidly progressive deterioration and demise, or may make seizure control difficult. By not ascertaining anticonvulsant levels in a patient with epilepsy, the physician loses an opportunity to determine whether the anticonvulsant is ineffective or simply at too low a level.

If the emergency physician communicates with the primary physician, unnecessary studies and drugs that either were ineffective or produced some side effects can be avoided. Additionally, it is important to consult with the patient's physician when prescribing nonanticonvulsants that might interfere with anticonvulsants or produce unwanted side effects.

In the aggressive treatment of seizures (SE and recurring breakthrough seizures), inadequate loading doses or improper drug selection may prolong the seizure and worsen the prognosis. Excessive dosage can result in respiratory depression or hypotension and, in rare instances, can exacerbate the seizures. If nonepileptic paroxysmal disorders are not recognized, the patient is put at the additional risk of unnecessary medication and inadequate treatment of the real disorder.

Emergency physicians cannot deal with all the problems facing patients with epilepsy. Follow-up care by the primary physicians or appropriate consultants ensures better compliance and, hopefully, lessens emergency situations in the future.

Was this article helpful?

0 0
How To Win Your War Against Bronchitis

How To Win Your War Against Bronchitis

Sick And Tired Of Your Constant Cough? Is Your Bad Immune System Leading You To The Path Of Fever And Sore Chest? You Sure Have A Reason To Panic BronchitisThere Is Always A Way Out And, This Is It Finally Discover Some Of The Most Effective Tips That Can Curb Bronchitis, And Its Repeated Bouts Learn How To Keep The Chronic Cough, And Sore Chest Away Breathe Free, And Feel The Whiff Of Fresh Air, With No Hassles

Get My Free Ebook


Post a comment