T41.3
Airway management:
- Ventilate with 100% oxygen.
Seizure suppression:
- Diazepam, IV, 10 mg.
Cardiopulmonary resuscitation may be required.
- Reduce individual adrenaline (epinephrine) doses to < 1 mcg/kg.
- Lipid emulsion (20%), IV, 1.5 mL/kg over 1 min, then continuous infusion 0.25 mL/kg/min.
- Repeat bolus 1–2 times for persistent cardiovascular collapse.
- Double infusion rate to 0.5 mL/kg/min if BP remains low.
- Continue infusion for at least 10 minutes after cardiovascular stability attained.
- Recommended upper limit: approximately 10 mL/kg lipid emulsion over the first 30 minutes.