A 35-year-old male with known epilepsy has been convulsing for 25 minutes despite two doses of buccal midazolam (10 mg each). He now has IV access. Ac...

Question

A 35-year-old male with known epilepsy has been convulsing for 25 minutes despite two doses of buccal midazolam (10 mg each). He now has IV access. According to NICE guidelines, what is the next step in the management of established status epilepticus?

Accepted Answer

IV lorazepam 4 mg - if seizures continue after 10 minutes, repeat once

Answer

Rectal paraldehyde

Answer

IV diazepam 10 mg

Answer

IV propofol - arrange RSI

Answer

IV phenytoin 20 mg/kg infusion

uk-dipimc MCQ (SBA): Status Epilepticus

A 35-year-old male with known epilepsy has been convulsing for 25 minutes despite two doses of buccal midazolam (10 mg each). He now has IV access. According to NICE guidelines, what is the next step in the management of established status epilepticus?