Spasm in childhood Emergency nursing management

The immediate and proper management of spasmodic crisis in childhood is absolutely necessary in order to prevent neurological damages, even death. The choice of the proper anti-spasmodic medication depends from the effectiveness, the easiness, the safety of administering medication and the possible toxicity that they can cause. The use of intravenous administration of medicines is preferable because in this way the medication can get into the cerebrum in satisfactory levels. The endoarterial injection is not recommended. In children that it’s difficult to provide intravenous administration of medicines the use of benzodiazepin by rectal is advisable. The antiepileptic medications which are given in high doses can cause undesirable effects, while sleeping pills cant manage spasmodic crisis. Nurses should be informed about the treatment of a spasm seizure about the right dose and the details of the adminisration antiepiliptic medications. The general instructions, in case of a spasm seisure, include calmness, observation of the child’s behavior, removement of the objects that can cause injury, move the child sidelong or in hemi-prone state in order to keep the airways open and to avoid asphyxiation, clearance of the mouth from excretion, not use of violent and hard objects while opening the child’s mouth and adminisration diazepam by rectal, if spastic crisis last more than 5 minutes.