A 30-year-old woman presents to ED after a generalised tonic-clonic seizure lasting 8 minutes. She is now post-ictal. She has known epilepsy and misse...

Question

A 30-year-old woman presents to ED after a generalised tonic-clonic seizure lasting 8 minutes. She is now post-ictal. She has known epilepsy and missed several doses of medication. She has a second generalised seizure lasting over 5 minutes. According to status epilepticus protocols, what is the first-line pharmacological treatment?

Accepted Answer

Intranasal or IV midazolam or IV diazepam

Answer

IV phenytoin loading dose immediately

Answer

IV levetiracetam as first-line

Answer

Oral clonazepam

Answer

No treatment until 30 minutes have passed

au-amc MCQ (SBA): Generalised convulsive status epilepticus