MSFinals-0901

MSFinals-0901

As the ward cover foundation year doctor, you receive a fast bleep at 2 am for a patient experiencing a tonic clonic seizure. The nurse informs you that the patient, who is in for neuro observations, sustained a head injury six hours ago in the Emergency Department. The patient currently has an IV cannula, but the nurse has already administered PR diazepam as prescribed on the drug chart. The seizure has been ongoing for about 8 minutes now.

Fifteen minutes ago, the patient’s neuro observations were as follows: HR 70, BP 135/65 mmHg, RR 18, O2 97% on room air, and BM 7.0.

What would be your next course of drug therapy for this patient, who is slightly older than the previous case?