Patient population | Studies |
All patients | Serum electrolytes |
Serum calcium, phosphate, and magnesium | |
Serum glucose and a rapid point-of-care glucose | |
Brain imaging (CT or MRI)* | |
EEG | |
Postmenarchal females | Qualitative pregnancy test (urine or blood) |
Epilepsy patients maintained on antiseizure medications | Antiseizure medication level |
Febrile patients | CBC with differential |
Blood culture | |
Urinalysis, urine culture | |
CSF culture (once seizures stopped and if brain imaging excludes increased intracranial pressure) | |
Substance use or poisoning suspected | Serum and urine toxicology screen for drugs of abuse and prescription drugs (eg, tricyclics, antipsychotics)¶ |
Aspirin level | |
Venous or arterial pH and pCO2 | |
EKG once seizures stop | |
Infants <6 months of ageΔ | Blood gas |
Plasma ammonia | |
Plasma amino acids | |
PT, PTT | |
Serum AST, ALT, LDH, alkaline phosphatase | |
Blood lactate and pyruvate | |
Urinalysis | |
Urine for reducing substances | |
Check newborn urine screening results if infant from country where instituted |
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