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I'll echo the above and say that I go even farther and give 0.1 mg/kg right off the bat to patients. This means that an 80 kg patient gets 8 mg of Ativan. The way I'll explain it to the residents is that status epileptics causes excitotoxic brain damage similar to hypoxemic brain damage and you wouldn't slowly titrate oxygen upwards and wait for a response but instead give the full dose of oxygen immediately.