A 19-year-old male with known generalized epilepsy was brought to the emergency department for convulsive status epileptics. He has had nausea, emesis, and a low grade fever for the last 5 days and has been unable to take his home antiepileptic drug. He is having ongoing low amplitude, rhythmic clonic movements of his bilateral arms and legs. His vitals are as follows: heart rate 86, blood pressure 106/68, SpO, 100% on 2 L nasal canula, temperature 100.2°C. EMS administered 2 mg of lorazepam and had cessation of clonic movements but still altered and not back to baseline mental state. What is the next best medication treatment for this patient? A. Intubate the patient and start propofol B. Monitor the patients for few hours and order EEG C. Additional lorazepam to dose of 0.1 mg/kg followed by osphenytoin with loading dose of 15 mg/kg IV D. Obtain CT head to further evaluate the etiology and rule out tructural abnormalities

A 19-year-old male with known generalized epilepsy was brought to the emergency department for convulsive status epileptics. He has had nausea, emesis, and a low grade fever for the last 5 days and has been unable to take his home antiepileptic drug. He is having ongoing low amplitude, rhythmic clonic movements of his bilateral arms and legs. His vitals are as follows: heart rate 86, blood pressure 106/68, SpO, 100% on 2 L nasal canula, temperature 100.2°C. EMS administered 2 mg of lorazepam and had cessation of clonic movements but still altered and not back to baseline mental state. What is the next best medication treatment for this patient? A. Intubate the patient and start propofol B. Monitor the patients for few hours and order EEG C. Additional lorazepam to dose of 0.1 mg/kg followed by osphenytoin with loading dose of 15 mg/kg IV D. Obtain CT head to further evaluate the etiology and rule out tructural abnormalities

Essentials of Pharmacology for Health Professions

7th Edition

ISBN:9781305441620

Author:WOODROW

Publisher:WOODROW

Chapter19: Analgesics, Sedatives, And Hypnotics

Section: Chapter Questions

Problem 4CRQ

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