Opioid analgesia
Avoid/discontinue offending medications
Most seizure medications are contraindicated
Acceptable AEDs include: benzodiazepines, gabapentin, levetiracetam, and vigabatrin
Avoid Reglan
Treat any electrolyte abnormalities
Beta-blockers can be used to treat tachycardia
Most seizure medications are contraindicated
Acceptable AEDs include: benzodiazepines, gabapentin, levetiracetam, and vigabatrin
Avoid Reglan
Glucose load
Decreases<unk>  production
E.g. D5NS at 2L/hr x 24h==
Avoid D5/D10W due to risk of hyponatremia given significant free water load
Hemin (Panhematin®)
Decreases<unk>  production, significantly more potent than glucose
Recommended for most cases requiring hospitalization, or any with neurologic symptoms
3-4mg/kg IV daily x 4 days
Can cause significant infusion site phlebitis - minimize by reconstituting in 25% albumin; consider central venous administration
Very expensive - around $8000 per 313mg vial
Decreases<unk>  production
E.g. D5NS at 2L/hr x 24h==
Avoid D5/D10W due to risk of hyponatremia given significant free water load
Decreases<unk>  production, significantly more potent than glucose
Recommended for most cases requiring hospitalization, or any with neurologic symptoms
3-4mg/kg IV daily x 4 days
Can cause significant infusion site phlebitis - minimize by reconstituting in 25% albumin; consider central venous administration
Very expensive - around $8000 per 313mg vial
Porphyria
Abdominal aortic aneurysm
Scurvy
Aortocaval fistula
Rickets
Acute gastroenteritis
Pruritus ani
Aortoenteric fisulta