Age: 28
Gender: Male
CC: Seizure
PMHx: Epilepsy with a recent change in medication
Medications: Phenobarbital
Vitals: unable to assess active seizure
Physical findings: Pale skin
Other info: Pt felt seizure coming on and placed himself on the floor. His seizure is tonic-clonic and has been continuous for more than 15 minutes.

At this time which of the following courses of action would be most appropriate?

A) Preform a blood glucose test
B) Attempt to open the pt's mouth and insert a bite stick
C) Immobilize the pt to a spine board and initiate transport
D) Attempt to secure an airway and place pt in a safe position
When taking the pt history, which of the following pieces of information would be important to obtain?

A) Recent history of head trauma
B) Recent history of fever, headache, or stiff neck
C) HISTORY OF DIABETES
D) History of alcohol and drug abuse

For a seizure lasting more than 5 minutes (as in this case, where it's continuous for more than 15 minutes), it is considered a medical emergency. The priority is to ensure the patient's airway is open and to place the patient in a safe position to prevent injury.

When taking the patient's history, an important piece of information to obtain is:

B) Recent history of fever, headache, or stiff neck

This information is crucial to assess if there might be an underlying cause for the seizure, such as an infection or other neurological issues.