A 44-year-old man with alcohol use disorder presents with 8 minutes of continuous generalized convulsions without consciousness recovery. Vitals: BP 148/92, HR 118, RR 22, SpO2 88%, Temp 37.2°C. Point-of-care glucose 105 mg/dL. Serum magnesium 1.2 mg/dL (low). No recent head trauma reported. He requires immediate airway management and seizure cessation. Which of the following is the best next step in management?
- A)Observation only because most seizures are self limited
- B)Psychogenic nonepileptic seizure
- C)Diazepam followed by fosphenytoin for status epilepticusGABARITO
- D)Ethosuximide blocks thalamic T type calcium channels
- E)Carbamazepine use for focal seizures
Explicação
Convulsive status epilepticus requires immediate termination with a benzodiazepine, followed by a longer acting antiepileptic such as fosphenytoin to prevent recurrence. Ongoing generalized seizure activity beyond 5 minutes is unlikely to stop spontaneously an... Ver explicação completa e trilha adaptativa →