A 72-year-old man arrives as ESI 2 after a witnessed convulsion. He remains unresponsive with rhythmic right arm jerking 12 minutes later. Glucose is

Question

A 72-year-old man arrives as ESI 2 after a witnessed convulsion. He remains unresponsive with rhythmic right arm jerking 12 minutes later. Glucose is 98 mg/dL and IV access is available. Which of the following is the most appropriate initial action?

Accepted Answer

Administer IV lorazepam

Answer

Obtain EEG before treatment

Answer

Discharge after the seizure stops

Answer

Give levetiracetam as first medication

Answer

Perform lumbar puncture before medication

Convulsive status epilepticus — ABEM Board MCQ

A 72-year-old man arrives as ESI 2 after a witnessed convulsion. He remains unresponsive with rhythmic right arm jerking 12 minutes later. Glucose is 98 mg/dL and IV access is available. Which of the following is the most appropriate initial action?