If an otherwise well child presents with 1st episode of unprovoked seizures & continues to have seizures despite 2 doses of Lorazepam, what drug should be administered next?
- The given case scenario suggests a diagnosis of status epilepticus. - If seizures continue despite giving Lorazepam/ Midazolam, then follow this sequence: IV lorazepam or midazolam | seizure persisting Inj. Phenytoin (20 mg / kg) loading dose | seizure persisting Repeat inj. phenytoin (10 mg/kg) | seizure persisting Inj valproate /levetiracetam /phenobarbitone
Phenobarbitone
Phenytoin
Valproate
Levetiracetam
Epilepsy