Question of the week #36 by MedicalExams A 7 year old male is - TopicsExpress

Question of the week #36 by MedicalExams A 7 year old male is brought to the emergency department by his grandmother for evaluation of altered mental status. You assess the patient, noting a somnolent child who moans in response to noxious stimuli. Vital signs include temperature 37.1 C, pulse 132 bpm, respirations 20/min, blood pressure 174/100, and oxygen saturation 94% in room air. As you begin the physical examination, the patient experiences a generalized, tonic-clonic seizure. Seizure activity stops following a dose of intravenous lorazepam. Which of the following is the most appropriate next step in the management of this patient? a) Computed tomography (CT) of the head without intravenous contrast b) Lumbar puncture c) Sublingual nifedipine d) Intravenous fosphenytoin e) Intravenous nitroprusside

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