What is a key consideration when managing status epilepticus?

When managing status epilepticus, a key consideration is to monitor and obtain vital signs, including orthostatic vital signs. This helps in assessing the patient’s hemodynamic status and detecting potential complications such as hypotension that might arise due to prolonged seizures or after administering medications. Monitoring vital signs is critical in guiding treatment and ensuring the safety of the patient throughout the emergency.

While administering appropriate doses of antiepileptics is important in stopping the seizures, emphasis on high doses without careful monitoring can lead to adverse effects and complications. Focusing solely on respiratory support is insufficient because comprehensive care involves multiple aspects, including managing airway and circulation. The provision of glucagon would only be relevant in a specific context where hypoglycemia is suspected and requires treatment, but it is not a primary concern directly related to managing status epilepticus as a whole. Therefore, obtaining and monitoring vital signs is an essential component of the focus in managing a case of status epilepticus effectively.