Thank youfor joining us as we learn about proper
administration of several common seizure rescue medications.
Prolonged tonic clonic seizures or clusters of shorter seizures
left untreated can sometimes lead to status epilepticus.
Status epilepticus is a seizure that lasts for five minutes or longer,
or multiple seizures back to back without returning
to a normal level of consciousness within a five minute period.
Treatment within three to five minutes can often stop this
from happening and help prevent permanent brain damage or death.
You may prevent a trip to the emergency room if you treat seizures early
by following your child's seizure emergency protocol provided
by your doctor.
There are many types of medications that your doctor
can prescribe to help control breakthrough seizures.
Today, we will be demonstrating how to administer
the most common types of benzodiazepines usually prescribed.
Valtoco or diazepam intranasal, is a prescription medication
used for short term treatment of seizure clusters
in patients six years of age and older.
Like other rescue medications, you should carry out valtoco with you
in case you need to control your seizure clusters.
Valtoco is given in the nose or nasally only
and can be prescribed at different doses based on patients age and weight.
Each valtoco only sprays one time and cannot be reused.
Do not test or prime the nasal spray before each use.
Each dose of valtoco is provided in an individual pack.
Use all the medication in one pack for a complete dose.
If prescribed to do so,
A second dose may be given at least four hours after the initial dose if needed.
one blister pack equals one complete dose.
The patient does not need to breathe deeply when the medication is given
liy the person on their side or back, if possible.
This can be given to a person lying down, standing or sitting.
Hold about valtoco with your thumb on the bottom of the plunger
and place your first and middle fingers on either side of the nozzle.
Insert the tip of the nozzle into one nostril until your fingers
on either side of the nozzle are against the bottom of the person's nose.
Press the bottom of the plunger firmly with your thumb to give valtoco.
Remove valtoco from the nose and throw away the nasal
spray device after each use.
Make note of the time the dose was given
if giving the 15 mg or 20 mg dose.
Repeat the steps previously and use the second device
in the other nostril to give the full dose as prescribed by your doctor.
After giving
Balto, go, stay with the person and watch them closely.
Keep or move the person on their side
facing you so that you are able to watch them.
Call for emergency help, if any of the following happen:
The seizure cluster behavior
is different than other seizure clusters the person has had.
You are alarmed by how often the seizures happen,
by how severe the seizure is, by how long the seizure lasts.
Or by the color or breathing of the person.
Throw away or discard the used foul togo if needed.
A second dose may be given at least four hours after the first dose
using a new pack of valtoco.
Do not give more than two doses of valtoco.
to treat a seizure cluster.
A second dose should not be given if there is concern
about the person's breathing,
They need help with their breathing or have extreme drowsiness.
Do not use valtoco for more than one seizure cluster episode every five days.
Do not use valtoco for more than five seizure cluster episodes in one month.
Thank you so much for watching,
and if you have any questions, please
make sure to reach out to your health care provider or pharmacist.