Neonatal Seizures

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Session Title :Neonatal Seizures

Presenter :Sara Mohamed Murshid , clinical pharmacist ,WWRC

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Question 1 of 6

1. Question
Seizures in neonates are often fragmentary rather than generalized tonic-clonic seizures
- True
- False
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Question 2 of 6

2. Question
The incidence of neonatal seizures increases with decreased gestational age
- True
- False
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Question 3 of 6

3. Question
All are possible causes of seizures in neonates EXCEPT
- Hypoglycemia
- Hypercalcemia
- meningitis
- Hypoxic-ischemic encephalopathy
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Question 4 of 6

4. Question
All of the following are required to be evaluated/assessed as part of the diagnostic work up of neonatal seizures EXCEPT:
- Serum glucose
- EEG
- Serum electrolytes
- Phenobaribone serum level
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Question 5 of 6

5. Question
In case of seizures due to hypoglycemia in a neonate treat with loading dose of the following:
- 2 ml/Kg of 50% dextrose
- 2 ml/Kg of 10% Dextrose
- 5 ml/kg of 10% Dextrose
- 5 ml/Kg of 50% dextrose
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Question 6 of 6

6. Question
M.N. is a term female newborn weighing 3.5 kg. at 48 hrs after birth, M.N. begins to have rhythmic clonic twitching of the right hand which was diagnosed as neonatal seizure. After assessing and ensuring adequate ventilation and circulation the physician established an IV line and sent blood samples for blood sugar and electrolytes. M.N.’s laboratory results came back with the following results: Gluc: 5 mmol/L ,Na, 137 mEq/L; K, 4.3 mEq/L; CO2, 22 mEq/L; Cl, 104 mEq/L; BUN, 7 mg/dL; SrCr, 0.7 mg/dL; glucose, 25 mg/dL; Mg, 0.5 mmol/L; and Ca, 0.75 mmol/L. What should be done to control F.H.’s seizures?
- Given D10% 2ml/kg IV push
- Given Ca gluconate 10%, 2ml/kg diluted with D10% 1:1 over 1-3 minutes
- Mg sulfate 50% solution 0.2 ml/kg IM
- B and c
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Presenter :Sara Mohamed Murshid , clinical pharmacist ,WWRC