The paramedics have brought a client to the emergency room reporting that the client was in status epilepticus. The paramedics initiated IV lorazepam (Ativan) simultaneously loading with IV phenytoin (Dilantin), anticonvulsants with efficacy. Which of the following statements BEST describes the rationale behind this pharmaceutical intervention?
a. The treatment of choice in status epilepticus is IV lorazepam. Simultaneous loading with IV phenytoin or fosphenytoin is also recommended.
b. Simultaneous administration of lorazepam and phenytoin are contraindicated.
c. This is an alternative method of treatment if the drug of choice, ethosuximide (Zarontin), is not available.
d. The paramedics are not licensed to administer IV solutions.
a. The treatment of choice in status epilepticus is IV lorazepam. Simultaneous loading with IV phenytoin or fosphenytoin is also recommended.
FEEDBACK:
a. Status epilepticus is considered to be a true neurological emergency. The treatment of choice is IV lorazepam. Simultaneous loading with IV phenytoin or fosphenytoin is also recommended.
b. Lorazepam and phenytoin can be administered simultaneously. .
c. Ethosuximide (Zarontin) is often the drug of choice for management of absence epilepsy. .
d. Paramedics can administer IV solutions. .
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