docnikki
Forum Guru
Topics: 93
Posts: 680
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Hi , what answer do u choose?
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| muna
Forum Senior
Topics: 17
Posts: 126
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D?
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| krsna
Forum Senior
Topics: 1
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IS IT C?
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| dr.wad
Forum Senior
Topics: 3
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D
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| Justice
Just signed contract
Topics: 118
Posts: 2,369
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Switching from iv carbo to p/o carbo seems unreasonable to me... I could be wrong though... I would keep this Pt on iv phenytoin (C)
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| sachida
Forum Guru
Topics: 62
Posts: 625
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lorazepam>pheytoin>phentyoin>phenobarbital>anesthesia is course of action for status epilepticus. Once the seizure has stopped, I guess first thing to ask would be drug compliance (missed dose, refused to take due to side effect etc). If patient was compliant then, I would consider adding a drug
ECT has questionable effects although some reasearchers have found it to decrease frequency and duration of subsequent seizure
IV drugs are not requred to maintain absence of seizure
Oral carbamezapine would be best answer choice to me since no information is given on previous drug. Oral ethosuximide is first line therapy for only absence seizure. So I am not so sure on that.
final answer D
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| sprint123
Forum Guru
Topics: 129
Posts: 870
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No information has been given regarding conscious level....Oral carbamazepine is for COMPLEX seizures..right??Is it superior to ECT IN THIS PATIENT??
Wat is the answer docnikki?,Thanks
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| sachida
Forum Guru
Topics: 62
Posts: 625
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if the seizure has resolved, why should be conscious level be altered?
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Past is a history. Tomorrow is a mystery. What you have today is gift of God- that is why it is called present. Enjoy it...
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| cookie909
Forum Newbie
Topics: 0
Posts: 18
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C
After a seizure that lasted more than an hour, the pt would be exhausted and asleep. Wouldn't be possible to give anything orally.
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| docnikki
Forum Guru
Topics: 93
Posts: 680
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the answer is C!!..the explaination is nt convincing and they dont explain why if the sz is over we need to give IV phenytoin....
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| starcraftbw
Forum Senior
Topics: 13
Posts: 166
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Most likely C:
Benzo (lorazepam or diazepam) --> Phenytoin --> Phenobarbitor --> midazolam, propofol
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