A child is brought to the emergency department in generalized tonic-clonic status epilepticus. Which medication should the nurse expect to be given initially in this situation?
a. Clorazepate dipotassium (Tranxene)
b. Fosphenytoin (Cerebyx)
c. Phenobarbital
d. Lorazepam (Ativan)
D
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A Clorazepate dipotassium (Tranxene) is indicated for cluster seizures. It can be
given orally.
B Fosphenytoin can be given intravenously as a second round of medication if
seizures continue.
C Phenobarbital can be given intravenously as a second round of medication if
seizures continue.
D Lorazepam (Ativan) or diazepam (Valium) is given intravenously to control
generalized tonic-clonic status epilepticus and may also be used for seizures
lasting more than 5 minutes.
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