Pediatric emergency medicine trisk 2613 2613
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TABLE 97.3
COMMONLY USED ANTICONVULSANT AGENTS
Management
The administration of supplemental oxygen and maintenance of an adequate
airway are vital parts of the initial management of the unconscious, actively
convulsing child (see Chapter 72 Seizures ). Trismus often occurs in generalized
seizures. If the teeth are tightly clenched, even the placement of the oral airway
should be deferred until it can be inserted during a phase of relaxation to avoid
trauma. Seizure-associated hypoventilation and apnea are common with
prolonged seizures, and may be a side effect of anticonvulsant medications; thus
providers caring for such children should be prepared to offer assisted ventilation.
For patients with adequate ventilatory effort but unable to fully maintain their
