Which option is not part of the described status epilepticus protocol?

• A. Administer an IV benzodiazepine
• B. Administer a loading dose of fosphenytoin
• C. Administer an oral antibiotic
• D. Administer lorazepam orally

Answer: (D)

In acute status epilepticus, the priority is rapid seizure control with treatments given by routes that work immediately. The standard approach uses an IV benzodiazepine to stop the current seizure, because IV administration delivers fast onset. If seizures continue, a loading dose of an IV second‑line antiseizure medication (such as fosphenytoin) is given to prevent further episodes. An oral antibiotic has no role in this emergency seizure protocol, since treating an infection isn’t addressing the immediate seizure activity. Administering lorazepam by mouth isn’t appropriate either, because the oral route is too slow and unreliable in the middle of a seizure; the benzodiazepine needs to be given IV or IM for rapid effect. So the option about giving lorazepam orally is not part of the described protocol.