A nurse is caring for a client who has a history of status epilepticus. Which drug should be available in intravenous form should this happen to the client again?
Explanation & Rationale
A. Phenytoin: Phenytoin is an antiepileptic used for long-term seizure control but is not the first-line drug for treating active status epilepticus. It can be given IV but works slowly and is usually used after a benzodiazepine has stopped the seizure. B. Lorazepam: Lorazepam is a benzodiazepine that is highly effective for the emergency treatment of status epilepticus. It acts quickly when given intravenously, making it the first-line choice for stopping prolonged seizures. C. Beta-blockers: Beta-blockers are primarily used for cardiovascular conditions such as hypertension and arrhythmias. They do not have any role in the acute management of seizures or status epilepticus. D. Diazepam: Diazepam is also a benzodiazepine and effective for seizures, but lorazepam is preferred in IV form due to its longer duration of action and more predictable effect in controlling status epilepticus.