A 24-year-old with new-onset status epilepticus in the ED after benzodiazepines receives levetiracetam 60 mg/kg. If seizures persist, which next-line ...

Question

A 24-year-old with new-onset status epilepticus in the ED after benzodiazepines receives levetiracetam 60 mg/kg. If seizures persist, which next-line agent is appropriate?

Accepted Answer

Phenytoin/fosphenytoin

Answer

Another benzodiazepine only

Answer

Valproate is contraindicated

Answer

Phenobarbital is never used

Answer

Propofol is first choice before second-line agents

us-abem MCQ (SBA): Status Epilepticus-Second Line

A 24-year-old with new-onset status epilepticus in the ED after benzodiazepines receives levetiracetam 60 mg/kg. If seizures persist, which next-line agent is appropriate?