A 31-year-old man arrives as triage level 1 with generalized tonic-clonic seizure activity for 8 minutes. Capillary glucose is 94 mg/dL, oxygen

Question

A 31-year-old man arrives as triage level 1 with generalized tonic-clonic seizure activity for 8 minutes. Capillary glucose is 94 mg/dL, oxygen saturation is 91%, and IV access has just been obtained. Which of the following is the most appropriate initial action?

Accepted Answer

IV lorazepam

Answer

CT head before antiseizure treatment

Answer

Oral phenytoin after the seizure stops

Answer

Haloperidol for motor activity

Answer

IV levetiracetam as the first medication before benzodiazepine

Convulsive status epilepticus — ABEM Board MCQ

A 31-year-old man arrives as triage level 1 with generalized tonic-clonic seizure activity for 8 minutes. Capillary glucose is 94 mg/dL, oxygen saturation is 91%, and IV access has just been obtained. Which of the following is the most appropriate initial action?