Rectal Diazepam Training - Leicestershire Partnership · PDF fileHow to give Rectal Diazepam...
Transcript of Rectal Diazepam Training - Leicestershire Partnership · PDF fileHow to give Rectal Diazepam...
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Rectal Diazepam Training
2010 Version
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Rectal Diazepam Training
• PowerPoint Presentation
• Video/DVD
• Practical Demonstration
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Guidance For the Use of Rescue Medication
• Training must be given, to those who will administer rescue medication, by experienced qualified staff
• The protocol must be shared with those who will need to follow it
• The individual must be included whenever possible in the decision making process around deciding on the use of rescue medication – (consent to its use sought and recorded)
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Care Plan • Each individual should have an epilepsy
care plan. • Care plans should include details of
individual such as: • Type of epilepsy – if known • Types of seizure • Details of prescribed treatment • Details of who is responsible for monitoring
/ reviewing epilepsy • Details of any known aura • Known triggers • Usual length of seizure • Mental state during recovery etc
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Protocol
The Prescribing doctor
must provide a clear protocol for the use of rescue
medication in prolonged or repeated (cluster) convulsive
seizures.
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This Protocol must include:- • Details of service user (name, DOB, age,
address) • Details of the prescribing doctor and start date. • When to give medication (i.e. when seizure is
prolonged , 5 minutes or more, repeated/cluster) • The Dose of medication prescribed and route of
administration. • Time to allow for drug to take effect (e.g. 6 –10
minutes) • Details of any second dose – when to give and
time to allow for drug to take effect. • Time allowed between doses and maximum dose
in 24 hours • What to do if rescue medication doesn’t work
(call ambulance)
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Protocol continued
• The protocol should be reviewed annually by the prescribing doctor.
• The protocol should be kept with the medication for the specific individual
• Consider copying / reducing / laminating the protocol to make it easier to take out with person.
• The protocol must be checked before each administration of emergency medication.
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What is Diazepam?
• Rectal Diazepam has been around for over
thirty years as a first aid remedy for prolonged or repeated (cluster) seizures that could develop into Status Epilepticus
• Reduces anxiety
• Induces drowsiness
• Stops seizure activity by decreasing the effectiveness of the transmitter substance responsible for passing on the electrical activity
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How to give Rectal Diazepam (1)
• Note the time the seizure starts
• Follow the individuals protocol to see how long to wait before giving diazepam
• Decide to give diazepam
• Check diazepam package to ensure:
– Dose, expiry date, route, time interval, name and correct medication
– Prepare the person having the seizure, expose the bottom maintaining privacy and dignity as best you can
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How to Give Rectal Diazepam (2)
• Remove Diazepam tube from the packet and remove the cap
• Insert the nozzle of the tube into rectum (think about the size of each individual, tubes are designed for adults, NEVER FORCE THE TUBE FURTHER THAN IT WILL EASILY GO)
• Squeeze the tube dispelling liquid into the rectum, continue to squeeze the tube as you remove the tube
• Gently press the bottom cheeks together to prevent seepage
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How to Give Rectal Diazepam (3)
• Stay with the individual until the seizure has stopped
• Note the time the seizure stops
• Stay with the person until they have returned to usual functioning
• Assist the person to dress or tidy themselves (remember: they may have been incontinent)
• Document the seizure in the notes or care plan etc
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It is vital that Rectal Diazepam is
administered according to the Guidelines
because prolonged convulsive epileptic
seizures are potentially life threatening