A 36-year-old woman presents in status epilepticus with ongoing generalised tonic-clonic seizures for more than 5 minutes without recovery of consciou...

Question

A 36-year-old woman presents in status epilepticus with ongoing generalised tonic-clonic seizures for more than 5 minutes without recovery of consciousness. Intravenous access is available. What is the most appropriate first-line pharmacologic treatment?

Accepted Answer

Intravenous lorazepam or diazepam.

Answer

Intravenous phenytoin loading dose.

Answer

Intravenous levetiracetam only.

Answer

Oral carbamazepine crushed in water.

Answer

No pharmacologic treatment is required until 30 minutes have elapsed.

ca-mccqe1 MCQ (SBA): Convulsive status epilepticus

A 36-year-old woman presents in status epilepticus with ongoing generalised tonic-clonic seizures for more than 5 minutes without recovery of consciousness. Intravenous access is available. What is the most appropriate first-line pharmacologic treatment?