University:
Northwest College
Course:
VN420 | Child Health
Academic year:

2024
Views:

71

Pages:

2
Author:

Yesenia M.

FEBRILE SEIZURES - PEDS The most common type of seizure seen in children <5 yrs old Peak incidence in children 12-18mo Slightly more common in boys Increased risk in children who have family hx of seizures Associated w a fever that is not the result of an intracranial infection or metabolic imbalance are are usually r/t viral illness USUALLY BENIGN – but can sometimes be a s/s of a dangerous underlying infection like meningitis or sepsis Complications- status epilepticus , motor coordination deficits, intellectual disability, behavior problems Therapeutic management Need to determine the cause of the fever Due to benign nature of febrile seizures- antiepileptic meds (LT use) is not recommended bc the risks outweigh the benefits Rectal diazepam – can be safe and effective Buccal and intranasal midazolam- can also be effective Assessment Rapid rise in core temp to 39 degree Celsius (102.2F) or higher Simple febrile seizure- generalized seizure lasting <15 mins that occurs 1x in a 24hr period without any CNS infection present Child has brief postictal period – will seem drowsy Nursing management Reassure parents that seizure is benign INSTRUCT PARENTS Remain calm Ease child to ground Time seizure ** Tight clothing and jewelry should be loosened Place child on side and open airway Do not restrain Remove hazard from area Do no force jaw open Document length of seizure and movement seen , cyanosis, loss of bladder/bowel control Remain w child until consciousness comes back Call EMS if ; child stops breathing, injury happens, lasts >5min, it’s the childs 1st seizure, child is unresponsive to painful stimuli after the seizure