A 4-year-old girl with Dravet syndrome is brought in by ambulance with a generalised convulsion that started 2…

Question

A 4-year-old girl with Dravet syndrome is brought in by ambulance with a generalised convulsion that started 20 minutes ago. Her parents gave buccal midazolam at home and the paramedics gave a further dose of intravenous midazolam en route. She is still convulsing, her airway is being supported with oxygen and the intravenous cannula is patent. Her blood glucose is 5.4 mmol/L and she is afebrile. Which one of the following should be given next?

Accepted Answer

Levetiracetam 40 mg/kg intravenously

Answer

Diazepam 0.3 mg/kg intravenously

Answer

Midazolam 0.15 mg/kg intravenously

Answer

Phenytoin 20 mg/kg intravenously

Answer

Pyridoxine 100 mg intravenously

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