top of page

Rapid IV Keppra?

You can't push undiluted IV Keppra rapidly! 🤔💉⏱️


That's what they told us.


But it turns out you can!


A groundbreaking study delves into the rapid administration of undiluted IV levetiracetam (Keppra) for seizure patients in the ED.


Here's what they found:


🌟 Study Highlights:

➡ Conducted in a large community teaching hospital's ED.

➡ Prospective, observational study involving 250 patients.

➡ Examined the safety and efficacy of administering undiluted levetiracetam doses up to 4500 mg.


📊 Key Findings:

➡ Adverse events were rare, occurring in just 5.6% of patients, mainly as injection site reactions.

➡ Instances of hypotension, tachycardia, and hypertension were minimal.

➡ For patients actively seizing, 79% achieved seizure termination.

➡ Median time from medication order to completion of administration for actively seizing patients was 12 minutes.


💡 Conclusions:

➊ Rapid administration of undiluted IV levetiracetam is associated with few adverse events, suggesting a promising approach for quicker seizure control in emergency settings.

➋ Supports the safety of this method, potentially revolutionizing how we administer this crucial medication in urgent care.


🔗 Dive deeper into this study for more detailed insights and its implications for emergency medicine protocols.

Brandon Hospital Emergency Medicine Residency
119 Oakfield Dr
Brandon, FL 33511

FinalBRHEMLogo.png

*DISCLAIMER: This page is resident-run and managed. It is unofficial and claims no official affiliation with HCA, Brandon Hospital, or HCA GME.

bottom of page