Generalized Epilepsy On Valproic in Pediatrics — 7yo Child | Paediatric Neurology | SMLE Q#17388
SMLE Question #17388
Pediatrics
Paediatric Neurology
Last updated: February 2026
A 7-year-old boy with generalized epilepsy on valproic acid has continuous generalized tonic-clonic seizures for 10 minutes. He remains unconscious despite airway support. EMS administered two weight-appropriate IV benzodiazepine doses with only transient cessation. IV access is secured, and the team is selecting a second-line IV antiseizure medication. His history includes dilated cardiomyopathy with prior ventricular arrhythmia. Which IV medication is most appropriate to administer now?
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