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?
Correct Answer: Phenytoin
Description: - 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
Category:
Pediatrics
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