Question

The nurse is providing care for a patient on a medical unit with a history of seizure activity. The patient exhibits the manifestations of a generalized seizure, which does not respond to prescribed treatment. Seizure activity has been continuous for over 30 minutes. Which HCP order would be expected?

A. Gathering equipment needed for mechanical ventilation

B. Setting up for administration of IV phenobarbital to induce coma

C. Making immediate arrangements to transfer the patient to the intensive care unit (ICU)

D. Administering IV lorazepam or diazepam for seizure control

Answer 1

Option B is correct phenobarbital is widely used to induce coma and allow the brain to rest in prolonged seizure.

Option a is inappropriate because there re is no respiratory function crisis in generalized seizures unle stted otherwise.

Option c , icu is not an immediate requirement as these cases can be dealt easily in wards.

Option d is incorect because these drug do work in status epileptics but induction of coma is required in such prolonged seizure.

Hope this helpsm all the best ?