In seizure management, which action is the priority?

• A. Administer oral glucose.
• B. Place a padded tongue blade.
• C. Check blood pressure.
• D. Maintaining an open airway.

Answer: (D)

Maintaining an open airway is the priority. During a seizure, loss of consciousness and rhythmic muscle activity can compromise breathing or lead to aspiration of saliva or vomit. The first focus is to keep the airway clear and ensure the person can breathe. Do not put anything in the mouth or use a tongue blade, as these actions can cause injury and do not reliably prevent airway problems. Protect the head and surrounding environment, time the seizure, and once convulsions stop, place the person on their side in the recovery position to keep the airway open and drainage clear. Monitor breathing closely; if breathing does not resume after the seizure, begin CPR. Oral glucose should only be given if the person is conscious, able to swallow, and has known hypoglycemia, which is not during an active seizure. Checking blood pressure is useful later, but it does not address the immediate risk to life from a blocked or compromised airway.