An algorithm for diagnosis and treatment of status epilepticus in adults

Abstract

Convulsive or generalized tonic-clonic status epilepticus (SE) is a neurological emergency that can lead to transient or permanent brain damage or even death. A conceptual model was developed to assist nurses and other medical professionals to differentiate between convulsive and nonconvulsive SE. An algorithm was then designed to aid nursing and medical staff in decision making about the type of SE and pharmacological intervention needed to stop prolonged or repetitive seizures occurring in patients undergoing video electroencephalogram (EEG) monitoring. A treatment algorithm for diagnosing and treating SE has clinical benefits in the practice setting of an inpatient comprehensive epilepsy program. Episodes of SE are more accurately classified and faster successful treatment of the episode occurs.