Communication with Emergency Service

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Communication with emergency service. Mother describes the situation and, on top of that, she mentions that her older son has once experienced spasmodic seizure. As a result, she asks emergency operator assistance if she should administer diazepam PR/PO, an anticonvulsant drug, etc. to him. Emergency service advises mother to keep the child protected from injury, ceaselessly monitor if he breathes and check if he turns blue and, simultaneously, the operator assistance warns not to restrain the boy's convulsive movements ... and?

The operator assistance advises the mother to administer Diazepam 10 mg rectal gel.

Wrong answer

The choice of the active substance and the pharmaceutical form are correct, but the dose is too high according to Guidelines for a 14 kg (31 lbs) child. Such a dose may lead to dose-related depression of the level of consciousness (danger of respiratory centre depression!)


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The operator assistance advises the mother to administer Diazepam 5 mg rectal gel.

Correct answer

Correct dosage: up to 15 kg (33 lbs) corporal weight = Diazepam 5 mg rectal gel; 15 kg (33 lbs) and more = Diazepam 10 mg rectal gel


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The operator assistance advises the mother not to administer any drugs mentioned above but to wait until the ambulance arrives. They then judge the situation, make a decision and administer the correct medicaments.

Correct answer

Correct answer. It is possible not to intervene by pharmaceutical approach and carefully observe child’s clinical state or to administer 1 rectal gel of Diazepam 5mg PR as well.


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The operator assistance advises the mother to administer tablet of Diazepam 5mg PO.

Wrong answer

The choice of the active substance is correct, but the pharmaceutical form is the fundamental issue. If the child is suffering an attack of cramps, it will be impossible to apply a tablet PO by reason of face muscles tightness and the risk of aspiration.


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PR = per rectum×
 
RR

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HR

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biochemistry

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