A 64-year-old woman in the emergency department has a generalised tonic-clonic seizure lasting more than 5 minutes and continues to seize despite a be...

Question

A 64-year-old woman in the emergency department has a generalised tonic-clonic seizure lasting more than 5 minutes and continues to seize despite a benzodiazepine. According to status epilepticus management protocols, what is the next best step?

Accepted Answer

Administer second-line agent such as intravenous phenytoin or levetiracetam

Answer

Wait for another 10 minutes to see if seizure stops

Answer

Administer intramuscular adrenaline

Answer

Give high-dose oral carbamazepine

Answer

Perform immediate lumbar puncture before further treatment

ca-mccqe1 MCQ (SBA): Status epilepticus

A 64-year-old woman in the emergency department has a generalised tonic-clonic seizure lasting more than 5 minutes and continues to seize despite a benzodiazepine. According to status epilepticus management protocols, what is the next best step?