Ambulance arrival

00:00

  • Ambulance arrival
Ambulance arrival. While calling the operator assistance the mother administered Diazepam 5 mg PR. Duration of spasmodic condition is 10-15 min, the child does not cooperate and he is still in spasms. Paramedics cannulate a peripheral vein. The medicament of the choice is?

Midazolam (Dormicum®) 0.1-0.2 mg/kg IV

Correct answer

The dose, active substance and pharmaceutical form are suitable for administration in muscle spasms and epileptic seizures in a 14 kg (31 lbs) child.


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Lamotrigin (Lamictal®) 50 mg IV

Wrong answer

Lamotrigin is an anticonvulsant suitable for bipolar disorder and focal epilepsies. By newest guidelines lamotrigine is second line treatment in status epilepticus not in febrile seizures


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Diazepam (Apaurin®) 0.3-0.5 mg/kg IV

Wrong answer

The active substance and pharmaceutical form are correct, but the dose is inadequate (too high) for a 14kg (31 lbs) child. An adequate dose: 1mg IV every 2-5 mins to a maximum total dose of 10 mg.


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Dexamethasone (Dexamethasone®) 100 mg IV

Wrong answer

Wrong indication for administration of corticosteroids. The indication range is wide, e.g.: anaphylaxis, oedema, bacterial meningitis.


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RR

11 bpm

HR

85 bpm

SpO2

90 %

BP

93/51 mmHg

ECG

not available

 

Gly

not available

ABG

not available

CBC

not available

biochemistry

not available