A 30-year-old has ongoing generalised convulsive status epilepticus for 7 minutes. Intravenous access is present, glucose is normal and no benzodiazep...

Question

A 30-year-old has ongoing generalised convulsive status epilepticus for 7 minutes. Intravenous access is present, glucose is normal and no benzodiazepine has been given. What is the most appropriate initial treatment?

Accepted Answer

Give intravenous lorazepam 4 mg as initial treatment

Answer

Give IV levetiracetam 60 mg/kg before a benzodiazepine

Answer

Give IV phenytoin 20 mg/kg as the first drug

Answer

Give sodium valproate 1 g IV as the first drug

Answer

Obtain EEG before loading a second-line antiseizure drug

Status Epilepticus — MRCEM SBA MCQ

A 30-year-old has ongoing generalised convulsive status epilepticus for 7 minutes. Intravenous access is present, glucose is normal and no benzodiazepine has been given. What is the most appropriate initial treatment?