Your Patient Is a 55-Year-Old Male with a History of Seizures

Your patient is a 55-year-old male with a history of seizures who is on the floor and experiencing tonic-clonic motor activity. His jaw is clenched, he has peripheral cyanosis, and there are frothy secretions in his airway. HR = 130, RR = 4 and shallow, SaO₂ = 88%. Which of the following is most appropriate?

A) Suctioning the airway, inserting a nasopharyngeal airway, assisting respirations by bag-valve-mask device with 100 percent oxygen
B) Immediate nasal intubation and hyperventilation with 100 percent oxygen
C) An IV of normal saline at a keep open rate, check blood glucose level, administer 3 mg of lorazepam, IV
D) An IV of normal saline at a keep open rate, check blood glucose level, administer 5 mg of diazepam, IV