time it: document things
status epilepticus lasts more than 30 min, impending 10 min
maintain respiratory and hemodynamic function, and treat cause of seizure (puls ox, telemetry, EKG)
Ativan, Diazepam IV or rectal,
unpredictable, and one type can go into another type; safety is more important so don't put anything in their mouth; let them be and support them; take everything off the bed, pad the rails, have good suctioning) and suction catheter both ready to go b/c you don't want to waste time getting all this into the room.
Protect child from injury, turn head to side
Observe where seizure begins, its progression and how it ends
Irritability, poor feeding, vomiting, bulging fontanelles, photophobia, nuchal rigidity, positive Kernig (flex chin down, if they resist, it's positive and then you have to do other testing) and/or Brudzinski sign (raise leg, if they resist, it's positive and then you have to do other testing), comfortable only in opisthotonic position. (hyperextension of head and neck; this is the position that gives them the most comfort). may be asymptomatic, dysuria, vaginal discharge, endocervicitis, may lead to pelvic inflammatory dz, ectopic pregnancy, and infertility; can cause inflammation of the rectum and lining of the eye (conjunctivitis) Can infect the throat form oral sexual contact with an infected partner; in males: penile discharge, urethral tingling, may lead to epididymitis, inflammation of the rectum and lining of the eye, can infect the throat from oral sexual contact with an infected partner females: may be asymptomatic or no recognizable symptoms until serious complications such as pelvic inflammatory dz, dysuria, urinary frequency, vaginal discharge, dyspareunia, endocervicitis, arthritis, may lead to pelvic inflammatory dz, ectopic pregnancy, and infertility; symptoms of rectal infection include discharge, anal itching, and occasional painful.
Males: most produce symptoms but can be asymptomatic, dysuria, penile discharge, arthritis, may lead to epididymitis and sterility, symptoms of rectal infection include discharge, anal itching, and occasional painful bowel movements with fresh blood
Leads to an increased maternal risk for developing liver hematoma or rupture, stroke, cardiac arrest, seizure, pulmonary edema, DIC, subendocardial hemorrhage, adult respiratory distress syndrome, renal damage, sepsis, hypoxic encephalopathy, and maternal or fetal death