Neonatal Convulsion

Step by step convulsion control:

 Inj.Barbit (200mg/1ml+9ml D/W) (shortcut formula)

LD(loading dose-20mg/kg)

• wt × 1ml I/V stat Then

MD(maintainance dose- 2.5 mg/kg/day)

• (wt /8) ml I/V ….12hrly

         ⬇️

if again convulsion then give

Inj.Barbit (200mg/1ml+9ml D/W)

1st half LD (loading-10mg/kg/dose)

• (wt/2) ml I/V….stat

                  ⬇️

if again convulsion then give

Inj.Barbit (200mg/1ml+9ml D/W)

2nd half LD (10mg/kg/dose)

• wt/2 ml I/V….stat

                 ⬇️

if no control of convulsion with Barbit

then give 

Inj.Fosfen(150mg/2ml+8 ml N/S)

LD(Loading Dose-30mg/kg/dose)

• wt × 2 ml I/V stat Then 

MD(Maintanance dose-5mg/kg/day)

• wt/4 ml I/V ...BD

if not controlled then 

Inj.Midazolam (5mg/5ml)

• 0.01-2 mg/kg/hour- drip