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ToxCard: Bupropion

EMDocs

Bupropion lowers the seizure threshold and even at therapeutic doses patients can have seizures. 6 Severe toxicity: Seizures: It is unclear if seizures are caused by bupropion or the active metabolite, hydroxybupropion. 3 Seizures are dose-dependent. 3 Seizures are dose-dependent.

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A Relatively Narrow Complex Tachycardia at a Rate of 180.

Dr. Smith's ECG Blog

Both of these also cause seizures. Here is the history : Male in 40's who had seizures and was unconscious. Second , if the patient is hemodynamically stable, without pulmonary edema, it may be wise to try some fluids and and benzodiazepines and/or propofol for this post-seizure patient with likely high catecholamine levels.

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Diagnostics: The Shunt Series

Taming the SRU

Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. The seizure abated with rectal diazepam given by the squad. You notice a med-alert bracelet with the patient’s name and the word “SEIZURES.” 2008) Shprecher, Schwalb, Kurlan.

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Hyponatremia

Northwestern EM Blog

Hypertonic saline is not only indicated for seizures, coma, suspected cerebral herniation or focal neurological deficits as noted above. Seizures attributed to hyponatremia need treatment ASAP. 2008 Nov;3(6):1852-60. Epub 2008 Aug 6. Second, how acute is the hyponatremia? Third, how severe are the symptoms?

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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

A similar process can also occur in the CNS (causing seizures ), the liver and the pancreas. Depending on the progression of the illness, children may present with pallor, oedema, lethargy, seizures, hypertension or abnormal liver function tests. Red blood cells break down in the capillaries, leading to anaemia. What is atypical HUS?

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Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

EMDocs

Finally, anticipating and addressing known complications such as seizures, increased intracranial pressure, or cerebral edema with appropriate measures, including antiepileptic drugs or osmotic agents, is essential for improving patient outcomes. 2008 Jul;26(7):1446-52. 2019 Aug;50(8):2023-2029. doi: 10.1161/STROKEAHA.119.025514.

Stroke 101
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Intranasal Medications

Pediatric Emergency Playbook

We can use intranasal drugs for analgesia, for anxiolysis, for seizures – but not all drugs used for those purposes will perform well – or at all – via the IN route. 2008 Oct;5(10):1159-68. Right Dose – Dosing with IN meds will vary considerably from the IV route. Rule of thumb: the IN dose is 2-3 times the IV dose. Biol Neonate.