QuestionSBA
QuestionChoice
This patient remains in status epilepticus despite two doses of IV lorazepam. Therefore, she requires a second-line treatment in the form of phenytoin.
10025080
a
Phenytoin
QuestionChoice
This patient is in status epilepticus and has already had two doses of lorazepam. This patient therefore requires a second-line treatment in the form of phenytoin.
10025081
b
A further dose of lorazepam
QuestionChoice
This patient requires a second-line drug for treatment of her status epilepticus. Sodium valproate would not be an appropriate drug to give in this scenario. This is for stabilising patients with epilepsy, not for use in the acute phase.
10025083
d
Sodium valproate
QuestionChoice
Midazolam can be given instead of lorazepam in the initial treatment of status epilepticus. It is usually given if there is no intravenous access as it can be given via the buccal route.
10025082
c
Midazolam
QuestionChoice
Diazepam can be given instead of lorazepam in the initial treatment of status epilepticus. It is usually given if there is no intravenous access as it can be given rectally.
10025084
e
Diazepam
Concept
Chapter
2693
3749
Epilepsy
Topic
141
Neurology
17414
You are called to see a 17-year-old girl who has been having a seizure for nine minutes. She has been given two doses of IV lorazepam, but her seizures have not stopped.

Which of the following is the next best step in management?
a