IV Keppra in the Emergency Department for Prevention of Early Recurrent Seizures

The patient will receive 1 gram of Keppra added to 100ml diluent and will be infused over 15 minutes.

IV load will be dependant on dilantin level. If no dilantin is detected in the patient, the patient will receive 1 gram of IV Fosphenytoin infused at 15 mg/min or slower depending on vitals.

IV load will be dependant on dilantin level. If no dilantin is detected in the patient, the patient will receive 1 gram of IV phenytoin infused at 25 mg/min or slower depending on vitals.