A patient in the intensive care unit continues to seizure after receiving Ativan. He currently has an intravenous infusion of Dextrose 5% and 0.45 Normal Saline infusing at a rate of 125 cc/hr
Which of the following should be done to assist with this patient's seizure activity? 1. administer Cerebyx as prescribed
2. administer Dilantin and Valium as prescribed
3. administer additional Ativan as prescribed
4. administer Haloperidol as prescribed
1
Rationale: Seizures that last longer than 5-10 minutes will need to be managed with medication therapy. Even though intravenous Ativan or Valium are effective in stopping the seizure 65-80% of the time, Cerebyx can be delivered faster, will not cause cardiac depression like Dilantin, and is compatible with dextrose intravenous solutions. The best course of action to help this patient would be to administer Cerebyx as prescribed. Haloperidol is not used to control seizure activity.
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