QuestionSBA
QuestionChoice
Diazepam is a type of benzodiazepine that can be administered within the first 15 minutes of the seizure beginning. PR diazepam is usually the treatment of choice in the community. It is not suitable in this case as the seizure has been going on for more than 15 minutes.
10008051
b
Diazepam
QuestionChoice
Similar to midazolam, propofol is an anaesthetic agent which can be used for status epilepticus after 45 minutes. This is not the case for this patient. Phenytoin is a more appropriate next step.
10008053
d
Propofol
QuestionChoice
In the management of status epilepticus, the patient should receive 2 doses of benzodiazepines, one at 5 minutes and another at 15. If the seizure does not stop after the second dose or lasts for more than 15 minutes, the next medication to administer is phenytoin.
10008050
a
Phenytoin
QuestionChoice
Midazolam is also a benzodiazepine, however it is usually an anaesthetic agent. It can be used for status epilepticus, if the seizure has lasted more than 45 minutes.
10008052
c
Midazolam
QuestionChoice
Adrenaline is an emergency medication used in anaphylaxis and cardiac arrest. However, it is not a medication that can be used for status epilepticus.
10008054
e
Adrenaline
Concept
Chapter
2693
4640
Status Epilepticus
Topic
141
Neurology
14157
A 25-year-old man with known epilepsy has an ongoing seizure that has now lasted over 25 minutes despite receiving benzodiazepines.

Which of the following medications should be administered next?
a