Status epilepticus is a clinical emergency, which requires special care. It is generally recognized that the most common cause of failure to control epilepsy is due to the patient’s reluctance to take the prescribed medicine or in some cases, under-dosing. Adequate doses of a single, preferred agent, such as phenytoin or ethosuximide is preferable to polpharmacy.
Seizures in the controlled patient may be precipitated by some drug interactions. For instance, the use of antihistamines, propoxyphene (Doloxene-co) or pentazocine (Sosegon). Flashing lights, fatigue or illness may also act as precipitants. Fortunately, psychotherapy services Marietta provides a practical way to help patients deal with the condition.
Therapeutic benefits
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Conditions
Status epilepticus is a condition that triggers a series of seizures, which makes it difficult to regain consciousness between the seizures. Grand mal status epilepticus is a life-threatening condition. The immediate danger is linked to the possibility of asphyxiation due to the position of the body, flaccid tongue or postictal oropharyngeal muscle relaxation or build up of saliva.
Fluid can accumulate in the lungs because of raised intrathoracic pressure. Cardiac dysrhythniias may be detected in susceptible patients and require treatment with appropriate agents. Brain damage will occur if the condition is not treated urgently. If possible, the patient’s blood should be tested for levels of the anti-epileptic drug used at the time.
Overdoses of drugs, such as phenvtoin or carbamazepine have been known to precipitate seizures. As a result, further dosing would be undesirable. If serum levels are found to be low. future prophylactic doses should be elevated or better patient compliance sought. Intravenous administration of a bolus dose of phenytoin, a benzodiazepine, such as diazepam. lorazepani or clonazepam or of the fast-acting barbiturate, thiopentone.