You are at the scene of a six-month-old that is having seizures. They have been repetitive and because of the duration, the child is exhibiting cyanosis and decreased oxygen saturation. Which of the following actions should you consider?
a. Administering diazepam via the rectal route.
b. Waiting for the seizures to stop and attempting IV access.
c. Administering diazepam deeply into the deltoid utilizing a twoinch needle for injection.
d. Placing ice packs under the axilla and groin in case the seizure is febrile in nature.
a
Rationale: a. Correct.
b. Because of the serious respiratory compromise, this seizure should be treated as soon as possible.
c. While IM injection may be somewhat beneficial, it is a slow route of absorption. Also, the needle length in the pediatric patient should not exceed one inch.
d. Recommended guidelines for febrile seizures include gentle cooling. Rectal diazepam is a better choice.
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