lucky_doc
Forum Junior
Topics: 18
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A 16 yo M is brought to the ED by paramedics while seizing. The neighbors who called 911 report that he has a long-standing seizure disorder and add that they believe he often abuses cocaine; they are unaware of how long he was seizing before they found him 20 minutes ago. On arrival to the ED the patient's pulse is 125/min, BP is 160/100, T is 102F, and RR is 22/min. On exam the patient has his arms extended rigidly at his side and is arching his back ryhtmically and appears to be aspirating. Nasopharyngeal intubation is successful on the second attempt by the ED resident on call. IV access is obtained. Which of the following is the most appropriate next step in managment?
A IV glucose, thiamine, and naloxone , and oxygen via face mask
B IV lorazepam and phenytoin
C IV phenobarbital
D Neuromuscular blockade
E Placement of electroencephalographic monitor
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| kpmle2
Forum Elite
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Posts: 290
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B IV lorazepam and phenytoin
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| arlete
Intern in 2009!!!!!
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B
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When men make the rules, God decides the exceptions.
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| grechita12
Forum Senior
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B
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| cool doctor
Forum Junior
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| drshvetasm
Forum Elite
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b
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| robin082006
Forum Hero
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The Key to Succeed is Patience.
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| lucky_doc
Forum Junior
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GOOD Job guys it is Status Epilepticus.......B
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