solved

CASE STUDY B:
Irving Olson, a 75-year-old male without significant previous history of seizures presents to the E R following one generalized tonic-clonic seizure. Initial assessment after the first seizure revealed poorly reactive pupils, no papilledema or retinal hemorrhages, and a supple neck. Irving has an active diagnosis of Emphysema (diagnosed 11/2015). He is allergic to penicillin (anaphylaxis). He currently takes Salmeterol 100/50 1 inhalation twice daily for his emphysema.
His oculocephalic reflex is intact. Respirations are rapid at 22/min and regular, the heart rate is 105 with a temperature of 101. As you are leaving the room, the patient had another seizure.
What should the initial management be?
What initial investigations should be performed in this setting?
What is the appropriate management with continued seizures if initial therapy does not terminate the seizures?

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