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Keep diazepam and glucose available in case the patient starts seizing again.Look for the cause of the seizure and evaluate the risk of recurrence.If seizure continues after the second dose, treat as status epilepticus.

In infants and elderly patients, monitor respiratory rate and blood pressure.

If seizure continues, repeat dose once after 10 minutes.IV administration is possible (0.3 mg/kg over 2 or 3 minutes), only if means of ventilation are available (Ambu bag and mask). For rectal administration, use a syringe without a needle, or cut a nasogastric tube, CH8, to a length of 2-3 cm and attach it to the tip of the syringe. If generalized seizure lasts more than 5 minutes, use diazepam to stop it:Ĭhildren: 0.5 mg/kg preferably rectally a Citation a. Immediate administration of an anticonvulsant is not systematic. Most seizures are quickly self-limited.

Protect from trauma, maintain airway, place patient in ‘recovery position’, loosen clothing.

In pregnant women, eclamptic seizures require specific medical and obstetrical care. Refer to the guide Essential obstetric and newborn care, MSF. Involuntary movements of cerebral origin (stiffness followed by clonic movements), accompanied by a loss of consciousness, and often urinary incontinence (generalized tonic-clonic seizures).