Question

A 30-year-old man is brought to the emergency department in status epilepticus with a generalised tonic-clonic seizure lasting 7 minutes. IV access has been obtained. What is the most appropriate first-line pharmacological treatment?

Accepted Answer

IV Lorazepam 4 mg bolus

Answer

IV Phenytoin 20 mg/kg loading dose

Answer

IV Levetiracetam 60 mg/kg loading dose

Answer

IM Diazepam into the thigh

Answer

Oral Clobazam 10 mg

Practice question

A 30-year-old man is brought to the emergency department in status epilepticus with a generalised tonic-clonic seizure lasting 7 minutes. IV access has been obtained. What is the most appropriate first-line pharmacological treatment?