Unique Plan Description: ED Pedi Seizures (MH WH FH)
Plan Selection Display: ED Pedi Seizures (MH WH FH)
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-14 22:45:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-08-09 08:37:47
Available at all facilities: No

ED Pedi Seizures (MH WH FH)
Medications
	Ativan
		0.1 mg/kg, Syringe, IV PUSH, Once, STAT
			Comment: Maximum dose: 4 mg
		0.1 mg/kg, Syringe, IM-IntraMUSCULAR, Once, STAT
			Comment: Maximum dose: 4 mg
	Valium
		0.2 mg, Injection, IV PUSH, Once, STAT
			Comment: Age: 1 months - 5 years.
		1 mg, Injection, IV PUSH, Once, STAT
			Comment: Age: > 5 years.
	diazepam rectal
		5 mg, RECTALLY, Once, STAT
			Comment: Pharmacist: Use undiluted injection.  Initially give 0.5mg/kg.  Put into a 10mL syringe, no needle.  Lubricate outside of barrel, insert 4 to 5 cm into rectum and discharge the contents.  Leave the syringe inserted, hold the buttocks together for 10 minutes.  Additional 0.25mg/kg dose can be give in 10 minutes if seizures are not controlled.
	fosphenytoin 100 mg (as PE)/2 mL injectable solution
		15 mg/kg, INT, IVPB, Once, STAT
	PHENobarbital IVPB
		15 mg/kg, INT, IVPB, Once, STAT
	phenytoin IVPB
		15 mg/kg, INT, IVPB, Once, STAT
Consults/Follow-up
	Consult Hospitalist
		Reason for Referral: Seizure
	Consult Neurologist
		Reason for Referral: Seizure
	Consult Pediatrics
		Reason for Referral: Seizure
	Consult Tele Neurology (JEFH)
		Reason for Referral: Seizure

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase