65 year old female present to emergency room after a generalized tonic clonic seizure for the first time in her life. While in emergency roomn she developed another seizure that aborted after 5 minutes with two doses of diazepam intravenously. She remained unconseious with observed twitching ofr her right face. She is afebrile with normal blood pressure. What will be your appropriate action?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Start her on intravenous phenytoin
A second seizure with no recovery of consciousness in between (still unconscious with ongoing facial twitching) is status epilepticus. Benzodiazepines have already been given, so the next step is an IV antiepileptic load (phenytoin/fosphenytoin).
- Oral phenytoin is too slow for an emergency.
- CT and EEG are part of the work-up, but the seizure must be aborted first.
- Waiting for another seizure ignores the ongoing status.
- المصدر
- Neurology 🧠.pdf · p. 13
EPILEPSY (1).pdf · p. 5
2. Seizure and Epilepsy.pdf · p. 1 - المحاضرة
- Weakness: TIA & Stroke · Neurology · Module C
- ظهر في
- Neuro bank