A pre-hospital team is managing a patient with status epilepticus. Two doses of IV lorazepam 4 mg have been given 10 minutes apart, but seizures conti...

Question

A pre-hospital team is managing a patient with status epilepticus. Two doses of IV lorazepam 4 mg have been given 10 minutes apart, but seizures continue. Per NICE guidelines, what second-line agent should be considered?

Accepted Answer

IV phenytoin 20 mg/kg (maximum rate 50 mg/min with cardiac monitoring) or IV levetiracetam 40-60 mg/kg

Answer

IM paraldehyde

Answer

Further IV lorazepam up to 16 mg total

Answer

IV propofol bolus and commence RSI

Answer

Oral carbamazepine via nasogastric tube

uk-dipimc MCQ (SBA): Established Status Epilepticus

A pre-hospital team is managing a patient with status epilepticus. Two doses of IV lorazepam 4 mg have been given 10 minutes apart, but seizures continue. Per NICE guidelines, what second-line agent should be considered?