69 yo M with remote h/o CVA with residual aphasia and R–sided hemiparesis, BIBEMS from NH with concern for status epilepticus (SE). Per EMS, the patient began to have 3-4 episodes of generalized convulsive activity that began about 30 minutes PTA and refractory to both IV Ativan given by NH and IV Valium given by EMS.
The patient begins to seize shortly after arrival. You address ABC’s and give another dose of Ativan IVP and convulsions eventually stop after about 2 minutes, but you then note rhythmic eye movements, concerning for non-convulsive status.
What do you do next?