You are transporting a 32-year-old patient who has a known history of epilepsy. Mid-flight, the patient begins to exhibit generalized tonic-clonic movements. What is the most appropriate immediate intervention?
Intubate the patient immediately
Position the patient in the recovery position to maintain the airway
Administer a benzodiazepine such as lorazepam or diazepam
The correct answer is administering a benzodiazepine because it helps to rapidly control active seizures. Positioning and ensuring airway patency are also important, but the immediate priority is seizure termination. Neostigmine is a medication used for myasthenia gravis, not for seizures.
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Why are benzodiazepines like lorazepam or diazepam effective for treating seizures?
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What is the recovery position, and why isn’t it the priority during an active seizure?
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Why is neostigmine not appropriate for treating seizures?
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