How was the phenytoin dose administered in this case?

• A. Intravenous push.
• B. Oral tablet.
• C. Intramuscular injection.
• D. Subcutaneous injection.

Answer: (A)

In acute seizure management, delivering the drug quickly into the bloodstream is essential, so an intravenous route is used. In this case, the dose was given by intravenous push, meaning it was injected directly into the vein as a bolus to achieve rapid systemic levels and act promptly to control the seizure. Oral tablets would take too long to absorb and reach therapeutic levels, making them unsuitable for urgent control. Intramuscular or subcutaneous injections yield slower, less predictable absorption and are not standard for rapid seizure treatment. (Note: while IV push delivers quickly, in many settings phenytoin is given as a slow IV infusion to minimize cardiovascular risks.)