A 35-year-old man with known epilepsy is brought to the emergency department having had a generalised tonic–clonic seizure for the last 7 minutes. His...

Question

A 35-year-old man with known epilepsy is brought to the emergency department having had a generalised tonic–clonic seizure for the last 7 minutes. His airway is patent, oxygen saturation is 95% on high-flow oxygen and intravenous access has been obtained. He has not received any medication yet. What is the most appropriate first-line pharmacological treatment?

Accepted Answer

Intravenous Lorazepam 4 mg

Answer

Intravenous Phenytoin 18 mg/kg

Answer

Intravenous Levetiracetam 60 mg/kg

Answer

Intravenous Propofol infusion

Answer

Intramuscular Diazepam 10 mg into the thigh

uk-plab-1 MCQ (SBA): Status epilepticus