What is the first-line management of status epilepticus lasting more than 5 minutes?
Answer and explanation
Correct answer: A. Intravenous lorazepam
- Step 1: Prolonged seizures need rapid termination.
- Step 2: Benzodiazepines are first line, followed by a second-line antiepileptic if needed.
Answer
Intravenous lorazepam.
Why not the others: 'Oral carbamazepine' is not used in acute seizures; 'Intramuscular haloperidol' is an antipsychotic; 'Observation for 30 minutes' delays treatment.
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