Patient YN is a 19 year old black female with a history of juvenile myoclonic epilepsy and medication noncompliance who presented to the University Hospital of Ohio State University in an episode of status epilepticus. She was reportedly in Pathophysiology I class when she suddenly lost consciousness and began having generalized tonic-clonic movements about 7 minutes prior to presentation. Prior to class this morning, she reported to her roommate that she had been experiencing poor sleep and has been stressed about school. Past Medical History: Diagnosed with Juvenile myoclonic epilepsy at age 12; took lamotrigine as a child, but has not taken anything for her seizures in 4 years Medications: Prescribed Phenytoin 300 mg daily, but has not filled prescription since her last neurologist visit 4 years ago 1) Given the physiology of the nerve action potential, what types of changes within the individual phases could potentially result in seizure activity? 2) What is the mechanism of action of Phenytoin? 3) She is currently in status epilepticus. What are your treatment options, and what order would you administer them?
[Verified Answer]: Patient YN is a 19 year old black female…
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