A 24-year-old woman with a history of generalised tonic-clonic epilepsy presents in status epilepticus (ongoing convulsions for 5 minutes). IV access...

Question

A 24-year-old woman with a history of generalised tonic-clonic epilepsy presents in status epilepticus (ongoing convulsions for >5 minutes). IV access is not immediately available. According to status epilepticus management principles, what is the most appropriate first-line treatment?

Accepted Answer

Rectal diazepam or intranasal/buccal midazolam as a benzodiazepine

Answer

Intravenous phenytoin

Answer

Oral carbamazepine immediately

Answer

Wait for IV access and then give phenobarbital

Answer

Immediate intubation without giving anticonvulsants

ca-mccqe1 MCQ (SBA): Status epilepticus initial management

A 24-year-old woman with a history of generalised tonic-clonic epilepsy presents in status epilepticus (ongoing convulsions for >5 minutes). IV access is not immediately available. According to status epilepticus management principles, what is the most appropriate first-line treatment?