Materiały źródłowe

• #1 Febrile Seizure (Nursing) Article

  https://www.statpearls.com/articlelibrary/nursingarticle/21653

  Febrile seizures are generalized seizures, typically in children between the ages of 6 months and 5 years, that occur with a fever 100.4 F (38 C) not associated with a central nervous system (CNS) infection, a known seizure-provoking etiology (eg, electrolyte imbalance, hypoglycemia, or substance abuse), or history of an afebrile seizure. […] Recall the nursing management of a patient with a febrile seizure. […] Assess mental status. […] Obtain vitals. […] Look for an infectious cause (eg, otitis media or urinary tract infection). […] Measure the fluid ins and outs. […] Monitor hydration status. […] Administer acetaminophen or a benzodiazepine as prescribed. […] Monitor temperature. […] Ensure patient safety during a seizure. […] Recommend hydration. […] The nurse should educate the family that even though dramatic in appearance, these seizures do not lead to neurological disease or dysfunction.

• #2 Patient education: Febrile seizures (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/febrile-seizures-beyond-the-basics/print

  FEBRILE SEIZURE OVERVIEW […] Febrile seizures are convulsions that occur in a child who is between six months and five years of age and has a temperature greater than 100.4°F (38°C). The majority of febrile seizures occur in children between 12 and 18 months of age. […] Febrile seizures occur in 2 to 4 percent of children younger than five years old. They can be frightening to watch, but do not cause brain damage or affect intelligence. Having a febrile seizure does not mean that a child has epilepsy; epilepsy is defined as having two or more seizures without fever present. […] A child who has a febrile seizure should be seen by a health professional as soon as possible (in an emergency department or medical clinic) to determine the cause of the fever. […] Some children, particularly those under 12 months of age, may require testing to ensure that the fever is not related to meningitis, a serious infection of the lining of the brain.

• #3 Febrile Seizures | Children’s Hospital Pittsburgh

  https://www.chp.edu/our-services/brain/neurology/epilepsy/types/syndromes/febrile-seizures

  Febrile seizures are the most common seizures of early childhood, affecting 2 to 5 percent of all children. […] Febrile seizures often occur when a child becomes ill, usually on the first day, and are caused by a high fever (102F). […] Febrile seizures can occur in any child, but they have a slight tendency to be hereditary. […] Febrile seizures are classified as either complex or simple. […] Complex febrile seizures last more than 15 minutes, are focal at onset, and occur more than once in 24 hours. […] Simple febrile seizures last less than 15 minutes. […] Children with seizures lasting more than 15 minutes should receive immediate medical attention to prevent neurological impairment. […] Antipyretics (anti-fever drugs) such as acetaminophen and ibuprofen are often used to treat the child’s fever.

• #4 Febrile Seizures and Vaccines | Vaccine Safety | CDC

  https://www.cdc.gov/vaccine-safety/about/febrile-seizures.html

  Infants and young children are most at risk for febrile seizures. […] Vaccinating children at the recommended age may prevent some febrile seizures. […] There is a small increased risk for febrile seizures in certain age groups after some vaccines. […] Febrile seizures can be frightening, but nearly all children who have a febrile seizure recover quickly. […] Febrile seizures do not cause any permanent harm and do not have any lasting effects. […] Vaccinating children at the recommended age may prevent some febrile seizures by protecting children against measles, mumps, rubella, chickenpox, influenza, pneumococcal infections and other diseases that can cause fever and febrile seizures. […] There is a small increased risk for febrile seizures after MMR and MMRV vaccines. […] There is a small increased risk for febrile seizures when inactivated influenza vaccine (flu shot) is given at the same doctor visit as either the PCV13 (pneumococcal) vaccine or the DTaP vaccine.

• #5 5 Febrile Seizure Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/febrile-seizure-nursing-care-plans/

  Goals and expected outcomes may include: The child will maintain a patent airway. The child will demonstrate temperature within normal range and will not experience complications. The child will be free from injury when a seizure occurs. The parents will obtain information regarding the care of the child. […] Therapeutic interventions and nursing actions for patients with febrile seizures may include: Maintaining Patent Airway, Managing Fever, Preventing Injury, Administering Medications and Providing Pharmacologic Support, Initiating Patient Education and Health Teachings. […] Fever is the underlying trigger for febrile seizures in children. Febrile seizures are generally associated with rapid rises in body temperature and commonly occur during the initial phase of a febrile illness. It is important to manage and treat the fever promptly to help prevent recurrent febrile seizures and provide comfort to the child.

• #6 Febrile Seizure: What It Is, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/febrile-seizure

  Febrile seizures are bursts of electrical activity in a childs brain that happen with a fever. They could occur with common childhood infections like the flu, an ear infection or chickenpox. They only last a few minutes and are usually harmless, but they can be alarming for parents and caregivers. A healthcare provider can offer support and guidance. […] Most febrile seizures arent dangerous, but they can be worrying for new parents and caregivers. A healthcare provider should evaluate your child when they happen. […] If your child has a first-time febrile seizure, they may recover from it fairly quickly. But you should contact your childs healthcare provider or visit the emergency room to verify that this seizure is, in fact, a febrile seizure and not caused by something more serious.

• #7 Patient education: Febrile seizures (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/febrile-seizures-beyond-the-basics/print

  Parents of a child who is at risk of having a recurrent febrile seizure can be taught to give treatment at home for seizures that last longer than five minutes. […] In most cases, treatment to prevent future seizures is not recommended; the risks and potential side effects of daily antiseizure medications outweigh their benefit. […] Treatment for fever (temperature greater than 100.4°F or 38°C) is acceptable but not always required; parents should speak with their health professional for help in deciding when to treat a child’s fever. […] Intelligence and other aspects of brain development do not appear to be affected by a febrile seizure, whether the seizure was simple, complex, or recurrent, or whether it occurred in the setting of infection or after immunization. […] Epilepsy occurs more frequently in children who have had febrile seizures. However, the risk that a child will develop epilepsy after a single, simple febrile seizure is only slightly higher than that of a child who never has a febrile seizure.

• #8 Febrile seizures

  https://www.rch.org.au/kidsinfo/fact_sheets/febrile_convulsions/

  A febrile seizure is a fit or convulsion caused by a sudden change in your child’s body temperature, and is usually associated with a fever (see our fact sheet Fever in children). […] Febrile seizures may be alarming and upsetting to witness, but they are not harmful to your child. Even very long seizures lasting an hour or more almost never cause harm. Febrile seizures do not cause brain damage, and there is no increased risk of epilepsy in children who have had simple febrile seizures. […] Treating a child’s fever with paracetamol or ibuprofen will not prevent a febrile seizure. […] During a febrile seizure: your child will usually lose consciousness; their muscles may stiffen or jerk; your child may go red or blue in the face. […] The most important thing is to stay calm don’t panic.

• #9 Febrile Seizures: Practice Essentials, Background, Pathophysiology

  https://emedicine.medscape.com/article/801500-overview

  Febrile seizures are the most common type of seizures observed in the pediatric age group. Febrile seizures are categorized into the following two types: Simple febrile seizures (which are generalized, last 15 minutes, and do not recur within 24 hours) […] Complex febrile seizures (which are prolonged, recur more than once in 24 hours, or are focal). Complex febrile seizures may indicate a more serious disease process, such as meningitis, abscess, or encephalitis. Patients with active seizures should be treated with airway management, high-flow oxygen, supportive care, and anticonvulsants as necessary. Patients who are postictal should receive supportive care and antipyretics as appropriate. Parents should be taught what to do if their child has another seizure. The parent should be advised to call for assistance if the seizure lasts longer than 10 minutes or if the postictal period lasts longer than 30 minutes. Parents should be counseled on the benign nature of febrile seizures. Parents should be reassured that simple febrile seizures do not lead to neurologic problems or developmental delay.

• #10 Febrile Seizure

  https://fpnotebook.com/Neuro/ID/FbrlSzr.htm

  Occurs once in 24 hour period […] No prior neurologic conditions […] Normal Neurologic Exam […] Complex Febrile Seizure (20-25%) […] Focal Seizure (most common reason for classifying as complex Seizure) […] Seizure duration 15 minutes […] Occurs more than once in a 24 hour period […] Known neurologic condition (e.g. Cerebral Palsy) […] Postictal neurologic abnormality (Todd’s Paralysis) […] Febrile Status Epilepticus (5%) […] Generalized Febrile Seizure lasting 30 minutes […] VIII. History […] Seizure episode […] Duration of Seizure (most Febrile Seizures last 7-8 minutes, typically much less than this) […] Characteristics (generalized or focal findings) […] Postictal signs and duration […] Recurrence […] IX. Exam […] Complete Neurologic Exam

• #11 Febrile Seizures: Overview, Symptoms, Treatment and Prevention

  https://www.nationwidechildrens.org/conditions/febrile-seizures

  For most children, fevers cause minor discomfort, but in some, they can trigger seizures. If your child has a seizure when they have a fever, its called a febrile seizure. These are common types of seizures in children. They may be the first sign of illness because the seizure may happen before the child has a fever or other symptoms. Children with febrile seizures may not have a seizure each time theyre sick. […] Febrile seizures are common between 6 months to 5 years old. […] They usually dont last long and dont cause brain damage, learning disabilities, or epilepsy. […] During a febrile seizure, a child may have irregular breathing, clench the teeth or jaw, pass out (lose consciousness), flutter their eyelids or roll their eyes, stiffen, jerk, or twitch their arm and leg muscles, and pee (urinate) or poop (bowel movement) in their pants.

• #12 Febrile seizures

  https://www2.hse.ie/conditions/febrile-seizures/

  During a seizure, your child may become stiff, twitch or jerk their arms or legs, lose consciousness, wet or soil themselves, or vomit. […] Emergency action required: Phone 112 or 999 or go to an emergency department (ED) if this is your child’s first seizure, the seizure lasts longer than 5 minutes, you think the seizure is caused by another serious illness, such as meningitis, your child is having difficulty breathing, or your child does not wake up when the seizure stops. […] Your GP can often diagnose febrile seizures from a description of what happened. […] Your GP may advise you to take your child to the hospital if they need further tests and observation. […] Febrile seizures are linked to a high temperature of 38 degrees Celsius or above. […] In some cases, your GP may recommend medicine to take at the start of a high temperature. […] Many parents worry that if their child has febrile seizures, they’ll develop epilepsy. […] There is an increased risk of developing epilepsy but the risk is small. […] Even though febrile seizures can be frightening for parents, they do not usually harm the brain.

• #13 Febrile Seizures: Overview, Symptoms, Treatment and Prevention

  https://www.nationwidechildrens.org/conditions/febrile-seizures

  You cant make the seizure stop. Do your best to stay calm and keep your child safe. […] Call 911 if your child has a seizure that lasts more than 5 minutes. The emergency squad can give your child medicine to stop the seizure. […] After a seizure, your child may be tired and confused, have a headache, not remember having a seizure, be a little cranky, and feel tired for a day or two. You don’t have to change your lifestyle or the way you care for your child after a febrile seizure.

• #14 Febrile Seizures (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/febrile.html

  Febrile seizures are convulsions that can happen when a young child has a fever above 100.4F (38C). The seizures usually last for a few minutes and stop on their own. The fever may continue for some time. […] Most febrile seizures stop without treatment and don’t cause other health problems. Some kids might feel sleepy after a seizure, while others feel no lasting effects. […] If your child has a febrile seizure, stay calm and gently place your child on the floor or the ground. Remove any nearby objects. Place your child on their side to prevent choking. Loosen any clothing around their head and neck. Watch for signs of breathing problems, including a bluish color in the face. Try to keep track of how long the seizure lasts. […] If the seizure lasts more than 5 minutes, or your child turns blue, it may be a more serious type of seizure call 911 right away.

• #15 Febrile Seizure: Symptoms & Treatment | Red Cross

  https://www.redcross.org/take-a-class/resources/articles/febrile-seizure?srsltid=AfmBOop8fn7Wek5UR2QpA9NpyaRlJJ2XZN9BPxN1yok1x_-Pt_t6IVL-

  Recognize that they are having a seizure. Common symptoms include unresponsiveness, rolling of the eyes, and shaking movements or stiffness of the arms and legs. […] Protect them from injury but do not restrain them. Move items that could injure the infant or child while they are having a seizure. Use a blanket or clothing to protect their head but ensure that it does not cover the nose or mouth. […] After the febrile seizure, help the infant or child rest on their side with their head tilted back to open the airway. Make sure the child is breathing. […] Acetaminophen or ibuprofen (per manufactures instructions) can be given orally if the child is awake and able to swallow. If the child is not awake and acetaminophen suppositories are available, they may be administered. This has not been shown to prevent recurrent febrile seizures in the present or recurrent illness, but anti-pyretics may make the child feel better. […] If the infant or child is awake and able to drink, provide them cool liquids such as juice or water.

• #16 Febrile seizure – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/febrile-seizure/diagnosis-treatment/drc-20372527

  Febrile seizures occur in children with normal development. Your doctor will carefully review your child’s medical history and developmental history to exclude other risk factors for epilepsy. In normally developing children, identifying the cause of your child’s fever is the first step after a febrile seizure. […] Most febrile seizures stop on their own within a couple of minutes. If your child has a febrile seizure, stay calm and follow these steps: Place your child on his or her side on a soft, flat surface where he or she won’t fall. Start timing the seizure. Stay close to watch and comfort your child. Remove hard or sharp objects near your child. Loosen tight or restrictive clothing. Don’t restrain your child or interfere with your child’s movements. Don’t put anything in your child’s mouth.

• #17 Seizure: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/seizure-nursing-diagnosis-care-plan/

  In the event of a seizure, the nurses priority is maintaining patient safety. […] Long-term control of seizures requires education and strict adherence to a treatment plan which the nurse can encourage and support. […] In the inpatient setting, institute seizure precautions for patients with a history of seizures. These measures include: padded bed rails, bed in the lowest position, suction at the bedside, oxygen and resuscitation equipment at the bedside, removing hazards or furniture that could cause injury from falling. […] Nursing interventions and care are essential for the patients recovery. […] For the patient who is actively seizing, perform the following: note the time of the seizure, loosen clothing, clear the area around the patient, do not restrain the patient, never insert objects in the mouth, monitor the airway and breathing, stay with them until the seizure ends, place the patient in the rescue position, assess the patient for any injuries after the seizure.

• #18 What Is a Febrile Seizure? | URMC Newsroom

  https://www.urmc.rochester.edu/news/publications/health-matters/what-is-a-febrile-seizure

  A child experiencing a febrile seizure can be distressing. However, understanding the causes, symptoms, and treatment can help caregivers respond effectively. […] Witnessing a seizure can be frightening, but its critical to follow basic first-aid steps: […] Ensure Safety: Move the child to a safe location, away from sharp objects, water, or heights where they might fall. […] Time the Seizure: Check the time to determine how long the seizure lasts, as duration is an important detail for healthcare providers. […] Roll to the Side: If possible, gently roll the child onto their side to prevent choking, especially if vomiting occurs. […] Avoid Restraint: Do not attempt to restrain the childs movements or place anything in their mouth. […] Observe Recovery: After the seizure, the child may appear tired or lethargic, which is normal.

• #19 Febrile seizure – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/febrile-seizure/diagnosis-treatment/drc-20372527

  Call for emergency medical attention if: Your child has a febrile seizure that lasts more than five minutes. Your child has repeated seizures. Your child’s seizure lasted less than five minutes but your child isn’t improving quickly. […] A doctor may order medication to stop a seizure that lasts longer than five minutes. Your child’s doctor may hospitalize the child for observation if: The seizure is prolonged. The child is younger than 6 months old. The seizure is accompanied by a serious infection. The source of the infection can’t be found. […] If your child has another febrile seizure: Don’t restrain your child, but do place him or her on a safe surface, such as the floor. Place your child on his or her side, keeping the face to the side and the lower arm extended under the head, to prevent your child from inhaling vomit if vomiting occurs. If your child had anything in his or her mouth when the seizure began, remove it to prevent choking. Don’t put anything in your child’s mouth during a seizure. Seek emergency care for a seizure that lasts longer than five minutes.

• #20 Febrile seizures

  https://www2.hse.ie/conditions/febrile-seizures/

  During a seizure, your child may become stiff, twitch or jerk their arms or legs, lose consciousness, wet or soil themselves, or vomit. […] Emergency action required: Phone 112 or 999 or go to an emergency department (ED) if this is your child’s first seizure, the seizure lasts longer than 5 minutes, you think the seizure is caused by another serious illness, such as meningitis, your child is having difficulty breathing, or your child does not wake up when the seizure stops. […] Your GP can often diagnose febrile seizures from a description of what happened. […] Your GP may advise you to take your child to the hospital if they need further tests and observation. […] Febrile seizures are linked to a high temperature of 38 degrees Celsius or above. […] In some cases, your GP may recommend medicine to take at the start of a high temperature. […] Many parents worry that if their child has febrile seizures, they’ll develop epilepsy. […] There is an increased risk of developing epilepsy but the risk is small. […] Even though febrile seizures can be frightening for parents, they do not usually harm the brain.

• #21 Febrile Seizure Nursing Care Planning and Management: Study Guide

  https://nurseslabs.com/febrile-seizure/

  Febrile seizure Nursing, Care […] Nursing care for a patient with febrile seizure includes the following: […] Assessment is necessary in order to identify potential problems that may have led to the condition as well as name any episode that may occur during nursing care. […] Identify the underlying cause. Identify the triggering factors; determination and management of the underlying cause are necessary for recovery. […] Assess the patients vital signs. Monitor the patients HR, BP, and especially the tympanic or rectal temperature. […] Assess age and weight. Extremes of age or weight increase the risk of the inability to control body temperature. […] Assess IO status. Monitor fluid intake and urine output; fluid resuscitation may be required to correct dehydration. […] Based on the assessment data, the major nursing diagnoses are: […] Hyperthermia related to antigens or microorganisms that cause inflammation. […] Imbalanced nutrition related to an inability to meet the bodys daily energy needs. […] Ineffective tissue perfusion related to failure to nourish the tissues at the capillary level. […] The goals for a patient with febrile seizure are: […] Patients temperature will decrease from [39C] to normal range of [36.5C to 37C]. […] Patient will be free of complications and maintain normal core temperature. […] Patient will identify measures to promote nutrition and follow the treatment regimen. […] Patient weight will be within normal values. […] Patient will demonstrate behavior lifestyle changes to improve circulation. […] Patients S.O. will verbalize understanding of the condition. […] Nursing interventions appropriate for the patient are: […] Check underlying factors. Assess the underlying condition and body temperature. […] Monitor vital signs. Monitor and record vital signs. […] Provide cold compresses. Provide a description of the family regarding the provision of a compress; cold compresses can reduce body temperature. […] Wear light clothing. Give light clothing that can absorb sweat to facilitate the release of heat into the air. […] Regulate activity. Promote adequate rest periods to reduce metabolic demands or oxygen. […] Increase fluid intake. Advice to increase fluid intake to help decrease body temperature. […] Discuss diet. Discuss eating habits and encourage diet for age to achieve the health needs of the patient with the proper food diet for his disease. […] Improve tissue perfusion. Elevate head of bed at night to increase gravitational blood flow. […] Goals for the patient are achieved as evidenced by: […] Patients temperature decreased from [39C] to normal range of [36.5C to 37C]. […] Patient is free of complications and maintain normal core temperature. […] Patient identified measures to promote nutrition and follow the treatment regimen. […] Patients weight is within normal values. […] Patient demonstrated behavior lifestyle changes to improve circulation. […] Patients S.O. verbalized understanding of the condition. […] Documentation for a patient with febrile seizure includes: […] Individual findings include factors affecting, interactions, the nature of social exchanges, and specifics of individual behavior. […] Cultural and religious beliefs, and expectations. […] Plan of care. […] Teaching plan. […] Responses to interventions, teaching, and actions performed. […] Attainment or progress toward the desired outcome.

• #22 Febrile Seizure (Nursing) Article

  https://www.statpearls.com/articlelibrary/nursingarticle/21653

  Febrile seizures are generalized seizures, typically in children between the ages of 6 months and 5 years, that occur with a fever 100.4 F (38 C) not associated with a central nervous system (CNS) infection, a known seizure-provoking etiology (eg, electrolyte imbalance, hypoglycemia, or substance abuse), or history of an afebrile seizure. […] Recall the nursing management of a patient with a febrile seizure. […] Assess mental status. […] Obtain vitals. […] Look for an infectious cause (eg, otitis media or urinary tract infection). […] Measure the fluid ins and outs. […] Monitor hydration status. […] Administer acetaminophen or a benzodiazepine as prescribed. […] Monitor temperature. […] Ensure patient safety during a seizure. […] Recommend hydration. […] The nurse should educate the family that even though dramatic in appearance, these seizures do not lead to neurological disease or dysfunction.

• #23 Febrile Seizure Nursing Care Planning and Management: Study Guide

  https://nurseslabs.com/febrile-seizure/

  Febrile seizure Nursing, Care […] Nursing care for a patient with febrile seizure includes the following: […] Assessment is necessary in order to identify potential problems that may have led to the condition as well as name any episode that may occur during nursing care. […] Identify the underlying cause. Identify the triggering factors; determination and management of the underlying cause are necessary for recovery. […] Assess the patients vital signs. Monitor the patients HR, BP, and especially the tympanic or rectal temperature. […] Assess age and weight. Extremes of age or weight increase the risk of the inability to control body temperature. […] Assess IO status. Monitor fluid intake and urine output; fluid resuscitation may be required to correct dehydration. […] Based on the assessment data, the major nursing diagnoses are: […] Hyperthermia related to antigens or microorganisms that cause inflammation. […] Imbalanced nutrition related to an inability to meet the bodys daily energy needs. […] Ineffective tissue perfusion related to failure to nourish the tissues at the capillary level. […] The goals for a patient with febrile seizure are: […] Patients temperature will decrease from [39C] to normal range of [36.5C to 37C]. […] Patient will be free of complications and maintain normal core temperature. […] Patient will identify measures to promote nutrition and follow the treatment regimen. […] Patient weight will be within normal values. […] Patient will demonstrate behavior lifestyle changes to improve circulation. […] Patients S.O. will verbalize understanding of the condition. […] Nursing interventions appropriate for the patient are: […] Check underlying factors. Assess the underlying condition and body temperature. […] Monitor vital signs. Monitor and record vital signs. […] Provide cold compresses. Provide a description of the family regarding the provision of a compress; cold compresses can reduce body temperature. […] Wear light clothing. Give light clothing that can absorb sweat to facilitate the release of heat into the air. […] Regulate activity. Promote adequate rest periods to reduce metabolic demands or oxygen. […] Increase fluid intake. Advice to increase fluid intake to help decrease body temperature. […] Discuss diet. Discuss eating habits and encourage diet for age to achieve the health needs of the patient with the proper food diet for his disease. […] Improve tissue perfusion. Elevate head of bed at night to increase gravitational blood flow. […] Goals for the patient are achieved as evidenced by: […] Patients temperature decreased from [39C] to normal range of [36.5C to 37C]. […] Patient is free of complications and maintain normal core temperature. […] Patient identified measures to promote nutrition and follow the treatment regimen. […] Patients weight is within normal values. […] Patient demonstrated behavior lifestyle changes to improve circulation. […] Patients S.O. verbalized understanding of the condition. […] Documentation for a patient with febrile seizure includes: […] Individual findings include factors affecting, interactions, the nature of social exchanges, and specifics of individual behavior. […] Cultural and religious beliefs, and expectations. […] Plan of care. […] Teaching plan. […] Responses to interventions, teaching, and actions performed. […] Attainment or progress toward the desired outcome.

• #24 5 Febrile Seizure Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/febrile-seizure-nursing-care-plans/

  Use this nursing care plan and management guide to help care for patients with febrile seizures. Learn about the nursing assessment, nursing interventions, goals and nursing diagnosis for febrile seizures in this guide. […] Nursing care plan and management for a child with febrile seizures include maintaining airway/respiratory function, maintaining normal core temperature, protecting from injury, and providing family information about the disease process, prognosis, and treatment needs. […] The following are the nursing priorities for patients with febrile seizures: Ensure patient safety during the seizure episode. Monitor and assess the duration and characteristics of the seizure. Administer appropriate antipyretic medications as prescribed to control fever. Provide emotional support and education to the patient and their caregivers regarding febrile seizure management and prevention. Collaborate with the healthcare team to identify and address the underlying cause of the fever.

• #25 Febrile Seizure Nursing Care Planning and Management: Study Guide

  https://nurseslabs.com/febrile-seizure/

  Febrile seizure Nursing, Care […] Nursing care for a patient with febrile seizure includes the following: […] Assessment is necessary in order to identify potential problems that may have led to the condition as well as name any episode that may occur during nursing care. […] Identify the underlying cause. Identify the triggering factors; determination and management of the underlying cause are necessary for recovery. […] Assess the patients vital signs. Monitor the patients HR, BP, and especially the tympanic or rectal temperature. […] Assess age and weight. Extremes of age or weight increase the risk of the inability to control body temperature. […] Assess IO status. Monitor fluid intake and urine output; fluid resuscitation may be required to correct dehydration. […] Based on the assessment data, the major nursing diagnoses are: […] Hyperthermia related to antigens or microorganisms that cause inflammation. […] Imbalanced nutrition related to an inability to meet the bodys daily energy needs. […] Ineffective tissue perfusion related to failure to nourish the tissues at the capillary level. […] The goals for a patient with febrile seizure are: […] Patients temperature will decrease from [39C] to normal range of [36.5C to 37C]. […] Patient will be free of complications and maintain normal core temperature. […] Patient will identify measures to promote nutrition and follow the treatment regimen. […] Patient weight will be within normal values. […] Patient will demonstrate behavior lifestyle changes to improve circulation. […] Patients S.O. will verbalize understanding of the condition. […] Nursing interventions appropriate for the patient are: […] Check underlying factors. Assess the underlying condition and body temperature. […] Monitor vital signs. Monitor and record vital signs. […] Provide cold compresses. Provide a description of the family regarding the provision of a compress; cold compresses can reduce body temperature. […] Wear light clothing. Give light clothing that can absorb sweat to facilitate the release of heat into the air. […] Regulate activity. Promote adequate rest periods to reduce metabolic demands or oxygen. […] Increase fluid intake. Advice to increase fluid intake to help decrease body temperature. […] Discuss diet. Discuss eating habits and encourage diet for age to achieve the health needs of the patient with the proper food diet for his disease. […] Improve tissue perfusion. Elevate head of bed at night to increase gravitational blood flow. […] Goals for the patient are achieved as evidenced by: […] Patients temperature decreased from [39C] to normal range of [36.5C to 37C]. […] Patient is free of complications and maintain normal core temperature. […] Patient identified measures to promote nutrition and follow the treatment regimen. […] Patients weight is within normal values. […] Patient demonstrated behavior lifestyle changes to improve circulation. […] Patients S.O. verbalized understanding of the condition. […] Documentation for a patient with febrile seizure includes: […] Individual findings include factors affecting, interactions, the nature of social exchanges, and specifics of individual behavior. […] Cultural and religious beliefs, and expectations. […] Plan of care. […] Teaching plan. […] Responses to interventions, teaching, and actions performed. […] Attainment or progress toward the desired outcome.

• #26 5 Febrile Seizure Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/febrile-seizure-nursing-care-plans/

  Goals and expected outcomes may include: The child will maintain a patent airway. The child will demonstrate temperature within normal range and will not experience complications. The child will be free from injury when a seizure occurs. The parents will obtain information regarding the care of the child. […] Therapeutic interventions and nursing actions for patients with febrile seizures may include: Maintaining Patent Airway, Managing Fever, Preventing Injury, Administering Medications and Providing Pharmacologic Support, Initiating Patient Education and Health Teachings. […] Fever is the underlying trigger for febrile seizures in children. Febrile seizures are generally associated with rapid rises in body temperature and commonly occur during the initial phase of a febrile illness. It is important to manage and treat the fever promptly to help prevent recurrent febrile seizures and provide comfort to the child.

• #27 5 Febrile Seizure Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/febrile-seizure-nursing-care-plans/

  Goals and expected outcomes may include: The child will maintain a patent airway. The child will demonstrate temperature within normal range and will not experience complications. The child will be free from injury when a seizure occurs. The parents will obtain information regarding the care of the child. […] Therapeutic interventions and nursing actions for patients with febrile seizures may include: Maintaining Patent Airway, Managing Fever, Preventing Injury, Administering Medications and Providing Pharmacologic Support, Initiating Patient Education and Health Teachings. […] Fever is the underlying trigger for febrile seizures in children. Febrile seizures are generally associated with rapid rises in body temperature and commonly occur during the initial phase of a febrile illness. It is important to manage and treat the fever promptly to help prevent recurrent febrile seizures and provide comfort to the child.

• #28 Evaluation and Treatment of the Child with Febrile Seizure | AAFP

  https://www.aafp.org/pubs/afp/issues/2006/0515/p1761.html

  Up to 5 percent of children in North America and western Europe experience at least one episode of febrile seizure before six years of age. Most of these seizures are self-limited and patients do not require treatment. Continuous therapy after the seizure is not effective in reducing the development of afebrile seizures. Antipyretics are effective in reducing the risk of febrile seizures if given early in the illness. Immediate care for the patient who has had a febrile seizure includes stopping the seizure, if prolonged, and evaluating the patient for the cause of the fever. […] Current recommendations do not support the use of continuing or intermittent neuroleptic or benzodiazepine suppressive therapies after a simple febrile seizure. […] Current guidelines do not recommend the use of continuous or intermittent therapy with neuroleptics or benzodiazepines after a simple febrile seizure. No medication has been shown to reduce the risk of an afebrile seizure (i.e., epilepsy) after a simple febrile seizure.

• #29 Febrile Seizure Nursing Care Planning and Management: Study Guide

  https://nurseslabs.com/febrile-seizure/

  Febrile seizure Nursing, Care […] Nursing care for a patient with febrile seizure includes the following: […] Assessment is necessary in order to identify potential problems that may have led to the condition as well as name any episode that may occur during nursing care. […] Identify the underlying cause. Identify the triggering factors; determination and management of the underlying cause are necessary for recovery. […] Assess the patients vital signs. Monitor the patients HR, BP, and especially the tympanic or rectal temperature. […] Assess age and weight. Extremes of age or weight increase the risk of the inability to control body temperature. […] Assess IO status. Monitor fluid intake and urine output; fluid resuscitation may be required to correct dehydration. […] Based on the assessment data, the major nursing diagnoses are: […] Hyperthermia related to antigens or microorganisms that cause inflammation. […] Imbalanced nutrition related to an inability to meet the bodys daily energy needs. […] Ineffective tissue perfusion related to failure to nourish the tissues at the capillary level. […] The goals for a patient with febrile seizure are: […] Patients temperature will decrease from [39C] to normal range of [36.5C to 37C]. […] Patient will be free of complications and maintain normal core temperature. […] Patient will identify measures to promote nutrition and follow the treatment regimen. […] Patient weight will be within normal values. […] Patient will demonstrate behavior lifestyle changes to improve circulation. […] Patients S.O. will verbalize understanding of the condition. […] Nursing interventions appropriate for the patient are: […] Check underlying factors. Assess the underlying condition and body temperature. […] Monitor vital signs. Monitor and record vital signs. […] Provide cold compresses. Provide a description of the family regarding the provision of a compress; cold compresses can reduce body temperature. […] Wear light clothing. Give light clothing that can absorb sweat to facilitate the release of heat into the air. […] Regulate activity. Promote adequate rest periods to reduce metabolic demands or oxygen. […] Increase fluid intake. Advice to increase fluid intake to help decrease body temperature. […] Discuss diet. Discuss eating habits and encourage diet for age to achieve the health needs of the patient with the proper food diet for his disease. […] Improve tissue perfusion. Elevate head of bed at night to increase gravitational blood flow. […] Goals for the patient are achieved as evidenced by: […] Patients temperature decreased from [39C] to normal range of [36.5C to 37C]. […] Patient is free of complications and maintain normal core temperature. […] Patient identified measures to promote nutrition and follow the treatment regimen. […] Patients weight is within normal values. […] Patient demonstrated behavior lifestyle changes to improve circulation. […] Patients S.O. verbalized understanding of the condition. […] Documentation for a patient with febrile seizure includes: […] Individual findings include factors affecting, interactions, the nature of social exchanges, and specifics of individual behavior. […] Cultural and religious beliefs, and expectations. […] Plan of care. […] Teaching plan. […] Responses to interventions, teaching, and actions performed. […] Attainment or progress toward the desired outcome.

• #30 5 Febrile Seizure Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/febrile-seizure-nursing-care-plans/

  During a febrile seizure, the child is prone to injury due to the uncontrollable movements and loss of consciousness. They may fall, hit objects, or experience accidental trauma during the seizure episode. It is vital to create a safe environment by removing any potential hazards, cushioning the area around the child, and closely monitoring the child to prevent injuries during the seizure. […] Antipyretics, such as acetaminophen or ibuprofen, are commonly used in febrile seizures to help reduce fever and alleviate associated symptoms. However, it is important to note that antipyretics do not specifically target or prevent seizures and are primarily used to manage fever. Anticonvulsants, on the other hand, are used if the febrile seizure is prolonged or recurrent to stop the seizure and prevent complications. […] Education and awareness about febrile seizures are crucial for the effective management and prevention of future episodes.

• #31 Seizure: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/seizure-nursing-diagnosis-care-plan/

  Provide supportive treatment that addresses airway, breathing, and circulation. […] During a seizure, ABCs (airway, breathing, circulation) must be prioritized. […] The presence of secretions, vomitus, and blood during a seizure episode can increase the patients risk for aspiration. […] A risk diagnosis is not evidenced by signs and symptoms as the problem has not occurred yet and the goal of nursing interventions is aimed at prevention. […] Seizures can result in a loss of awareness, consciousness, and voluntary control of the body increasing the risk of falls, injury, and trauma. […] A patient who is actively seizing should never be restrained as this can further increase injury.

• #32 5 Febrile Seizure Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/febrile-seizure-nursing-care-plans/

  During a febrile seizure, the child is prone to injury due to the uncontrollable movements and loss of consciousness. They may fall, hit objects, or experience accidental trauma during the seizure episode. It is vital to create a safe environment by removing any potential hazards, cushioning the area around the child, and closely monitoring the child to prevent injuries during the seizure. […] Antipyretics, such as acetaminophen or ibuprofen, are commonly used in febrile seizures to help reduce fever and alleviate associated symptoms. However, it is important to note that antipyretics do not specifically target or prevent seizures and are primarily used to manage fever. Anticonvulsants, on the other hand, are used if the febrile seizure is prolonged or recurrent to stop the seizure and prevent complications. […] Education and awareness about febrile seizures are crucial for the effective management and prevention of future episodes.

• #33 Febrile Seizures Treatment & Management: Prehospital Care, Emergency Department Care, Further Care

  https://emedicine.medscape.com/article/801500-treatment

  Patients with active seizures should be treated with airway management, high-flow oxygen, supportive care, and anticonvulsants as necessary. Acute treatment such as rectal diazepam (0.5 mg/kg) and buccal (0.4-0.5 mg/kg) or intranasal (0.2 mg/kg) are effective and can be given at home for a seizure lasting longer than 5 minutes. […] Patients who are postictal should receive supportive care and antipyretics as appropriate. […] Patients presenting with history and physical examination findings consistent with a simple febrile seizure should have frequent neurologic examinations to monitor mental status. […] Antipyretics should be considered. Acetaminophen (Tylenol) and ibuprofen (Motrin) are often used. […] Parental anxiety and fear that their child may die or will develop brain damage needs to be addressed with reassurance and education.

• #34 Evaluation and Treatment of the Child with Febrile Seizure | AAFP

  https://www.aafp.org/pubs/afp/issues/2006/0515/p1761.html

  The use of phenobarbital (5 to 8 mg per kg of weight per day for children two to 24 months of age, and 3 to 5 mg per kg per day for children older than two years) and valproic acid (10 to 15 mg per kg per day in divided doses, with a maximal dosage of 60 mg per kg per day) on a continuous basis reduces the risk of recurrent febrile seizures but has significant side effects. […] The use of intermittent oral diazepam also has been found to reduce the risk of recurrent febrile seizures, but the effectiveness is limited. […] For patients who have an ongoing seizure at the time of assessment (i.e., febrile status epilepticus), intravenous diazepam (0.2 to 0.5 mg per kg of weight intravenously every 15 minutes for a cumulative dosage of 5 mg in children one month to five years of age) often is effective. […] Finally, if the seizure continues after an adequate dose of diazepam (or other benzodiazepine) is administered, a full status epilepticus treatment protocol is indicated.

• #35 Febrile Seizure | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/21653

  However, complex or longer-lasting febrile seizures may require pharmacologic therapy to stop the seizure activity. […] Patients who have a presentation and clinical features consistent with simple febrile seizures do not need further diagnostic studies due to the benign nature of this type of febrile seizure. […] No specific treatment for simple or complex febrile seizures is indicated other than supportive care and evaluation for possible underlying conditions causing the fever. […] In patients with febrile status epilepticus or seizures lasting longer than 5 minutes, intravenous benzodiazepines (eg, lorazepam), rectal diazepam, or intranasal midazolam can be used. […] An interprofessional team approach to the care of febrile seizures will lead to the best outcomes.

• #36 Evaluation and Treatment of the Child with Febrile Seizure | AAFP

  https://www.aafp.org/pubs/afp/issues/2006/0515/p1761.html

  The use of phenobarbital (5 to 8 mg per kg of weight per day for children two to 24 months of age, and 3 to 5 mg per kg per day for children older than two years) and valproic acid (10 to 15 mg per kg per day in divided doses, with a maximal dosage of 60 mg per kg per day) on a continuous basis reduces the risk of recurrent febrile seizures but has significant side effects. […] The use of intermittent oral diazepam also has been found to reduce the risk of recurrent febrile seizures, but the effectiveness is limited. […] For patients who have an ongoing seizure at the time of assessment (i.e., febrile status epilepticus), intravenous diazepam (0.2 to 0.5 mg per kg of weight intravenously every 15 minutes for a cumulative dosage of 5 mg in children one month to five years of age) often is effective. […] Finally, if the seizure continues after an adequate dose of diazepam (or other benzodiazepine) is administered, a full status epilepticus treatment protocol is indicated.

• #37 5 Febrile Seizure Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/febrile-seizure-nursing-care-plans/

  During a febrile seizure, the child is prone to injury due to the uncontrollable movements and loss of consciousness. They may fall, hit objects, or experience accidental trauma during the seizure episode. It is vital to create a safe environment by removing any potential hazards, cushioning the area around the child, and closely monitoring the child to prevent injuries during the seizure. […] Antipyretics, such as acetaminophen or ibuprofen, are commonly used in febrile seizures to help reduce fever and alleviate associated symptoms. However, it is important to note that antipyretics do not specifically target or prevent seizures and are primarily used to manage fever. Anticonvulsants, on the other hand, are used if the febrile seizure is prolonged or recurrent to stop the seizure and prevent complications. […] Education and awareness about febrile seizures are crucial for the effective management and prevention of future episodes.

• #38 Febrile Seizures Treatment & Management: Prehospital Care, Emergency Department Care, Further Care

  https://emedicine.medscape.com/article/801500-treatment

  Patients with active seizures should be treated with airway management, high-flow oxygen, supportive care, and anticonvulsants as necessary. Acute treatment such as rectal diazepam (0.5 mg/kg) and buccal (0.4-0.5 mg/kg) or intranasal (0.2 mg/kg) are effective and can be given at home for a seizure lasting longer than 5 minutes. […] Patients who are postictal should receive supportive care and antipyretics as appropriate. […] Patients presenting with history and physical examination findings consistent with a simple febrile seizure should have frequent neurologic examinations to monitor mental status. […] Antipyretics should be considered. Acetaminophen (Tylenol) and ibuprofen (Motrin) are often used. […] Parental anxiety and fear that their child may die or will develop brain damage needs to be addressed with reassurance and education.

• #39 Febrile Seizure (Nursing) Article

  https://www.statpearls.com/articlelibrary/nursingarticle/21653

  The key is patient education. The nurse practitioner should educate the family that even though dramatic in appearance, these seizures do not lead to neurological disease or dysfunction. […] Finally, patients need to be told that a febrile seizure does not lead to any adverse neurological or psychological problems.

• #40 Febrile Seizures: Risks, Evaluation, and Prognosis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0401/p445.html

  Hospital admission is usually not required for children with febrile seizures, although factors to consider when making the decision include younger age, need for further observation because of abnormal examination findings, or unreliable follow-up. […] A population-based cohort study found no increase in long-term mortality in children with simple febrile seizures compared with the general population. […] Children with a first febrile seizure have a 33% risk of a recurrent febrile seizure. […] Based on a cohort study, children with febrile seizures are five times more likely to develop subsequent unprovoked seizures compared with children with no febrile seizures. […] Given the benign nature of febrile seizures, routine use of these medications is not recommended to reduce recurrence of febrile seizures. […] Anticipatory guidance for parents should focus on reassurance, emphasizing the benign nature of febrile seizures and the overall excellent prognosis, even if the seizures recur.

• #41 Febrile Seizure Nursing Care Planning and Management: Study Guide

  https://nurseslabs.com/febrile-seizure/

  Febrile seizure Nursing, Care […] Nursing care for a patient with febrile seizure includes the following: […] Assessment is necessary in order to identify potential problems that may have led to the condition as well as name any episode that may occur during nursing care. […] Identify the underlying cause. Identify the triggering factors; determination and management of the underlying cause are necessary for recovery. […] Assess the patients vital signs. Monitor the patients HR, BP, and especially the tympanic or rectal temperature. […] Assess age and weight. Extremes of age or weight increase the risk of the inability to control body temperature. […] Assess IO status. Monitor fluid intake and urine output; fluid resuscitation may be required to correct dehydration. […] Based on the assessment data, the major nursing diagnoses are: […] Hyperthermia related to antigens or microorganisms that cause inflammation. […] Imbalanced nutrition related to an inability to meet the bodys daily energy needs. […] Ineffective tissue perfusion related to failure to nourish the tissues at the capillary level. […] The goals for a patient with febrile seizure are: […] Patients temperature will decrease from [39C] to normal range of [36.5C to 37C]. […] Patient will be free of complications and maintain normal core temperature. […] Patient will identify measures to promote nutrition and follow the treatment regimen. […] Patient weight will be within normal values. […] Patient will demonstrate behavior lifestyle changes to improve circulation. […] Patients S.O. will verbalize understanding of the condition. […] Nursing interventions appropriate for the patient are: […] Check underlying factors. Assess the underlying condition and body temperature. […] Monitor vital signs. Monitor and record vital signs. […] Provide cold compresses. Provide a description of the family regarding the provision of a compress; cold compresses can reduce body temperature. […] Wear light clothing. Give light clothing that can absorb sweat to facilitate the release of heat into the air. […] Regulate activity. Promote adequate rest periods to reduce metabolic demands or oxygen. […] Increase fluid intake. Advice to increase fluid intake to help decrease body temperature. […] Discuss diet. Discuss eating habits and encourage diet for age to achieve the health needs of the patient with the proper food diet for his disease. […] Improve tissue perfusion. Elevate head of bed at night to increase gravitational blood flow. […] Goals for the patient are achieved as evidenced by: […] Patients temperature decreased from [39C] to normal range of [36.5C to 37C]. […] Patient is free of complications and maintain normal core temperature. […] Patient identified measures to promote nutrition and follow the treatment regimen. […] Patients weight is within normal values. […] Patient demonstrated behavior lifestyle changes to improve circulation. […] Patients S.O. verbalized understanding of the condition. […] Documentation for a patient with febrile seizure includes: […] Individual findings include factors affecting, interactions, the nature of social exchanges, and specifics of individual behavior. […] Cultural and religious beliefs, and expectations. […] Plan of care. […] Teaching plan. […] Responses to interventions, teaching, and actions performed. […] Attainment or progress toward the desired outcome.

• #42 Febrile Seizure Nursing Care Planning and Management: Study Guide

  https://nurseslabs.com/febrile-seizure/

  Febrile seizure Nursing, Care […] Nursing care for a patient with febrile seizure includes the following: […] Assessment is necessary in order to identify potential problems that may have led to the condition as well as name any episode that may occur during nursing care. […] Identify the underlying cause. Identify the triggering factors; determination and management of the underlying cause are necessary for recovery. […] Assess the patients vital signs. Monitor the patients HR, BP, and especially the tympanic or rectal temperature. […] Assess age and weight. Extremes of age or weight increase the risk of the inability to control body temperature. […] Assess IO status. Monitor fluid intake and urine output; fluid resuscitation may be required to correct dehydration. […] Based on the assessment data, the major nursing diagnoses are: […] Hyperthermia related to antigens or microorganisms that cause inflammation. […] Imbalanced nutrition related to an inability to meet the bodys daily energy needs. […] Ineffective tissue perfusion related to failure to nourish the tissues at the capillary level. […] The goals for a patient with febrile seizure are: […] Patients temperature will decrease from [39C] to normal range of [36.5C to 37C]. […] Patient will be free of complications and maintain normal core temperature. […] Patient will identify measures to promote nutrition and follow the treatment regimen. […] Patient weight will be within normal values. […] Patient will demonstrate behavior lifestyle changes to improve circulation. […] Patients S.O. will verbalize understanding of the condition. […] Nursing interventions appropriate for the patient are: […] Check underlying factors. Assess the underlying condition and body temperature. […] Monitor vital signs. Monitor and record vital signs. […] Provide cold compresses. Provide a description of the family regarding the provision of a compress; cold compresses can reduce body temperature. […] Wear light clothing. Give light clothing that can absorb sweat to facilitate the release of heat into the air. […] Regulate activity. Promote adequate rest periods to reduce metabolic demands or oxygen. […] Increase fluid intake. Advice to increase fluid intake to help decrease body temperature. […] Discuss diet. Discuss eating habits and encourage diet for age to achieve the health needs of the patient with the proper food diet for his disease. […] Improve tissue perfusion. Elevate head of bed at night to increase gravitational blood flow. […] Goals for the patient are achieved as evidenced by: […] Patients temperature decreased from [39C] to normal range of [36.5C to 37C]. […] Patient is free of complications and maintain normal core temperature. […] Patient identified measures to promote nutrition and follow the treatment regimen. […] Patients weight is within normal values. […] Patient demonstrated behavior lifestyle changes to improve circulation. […] Patients S.O. verbalized understanding of the condition. […] Documentation for a patient with febrile seizure includes: […] Individual findings include factors affecting, interactions, the nature of social exchanges, and specifics of individual behavior. […] Cultural and religious beliefs, and expectations. […] Plan of care. […] Teaching plan. […] Responses to interventions, teaching, and actions performed. […] Attainment or progress toward the desired outcome.

• #43 Febrile Seizure (Nursing) Article

  https://www.statpearls.com/articlelibrary/nursingarticle/21653

  The key is patient education. The nurse practitioner should educate the family that even though dramatic in appearance, these seizures do not lead to neurological disease or dysfunction. […] Finally, patients need to be told that a febrile seizure does not lead to any adverse neurological or psychological problems.

• #44 Febrile seizures

  https://www.rch.org.au/kidsinfo/fact_sheets/febrile_convulsions/

  In most cases, you can look after your child at home after a doctor has seen them for a febrile seizure. […] While most children will only ever have one febrile seizure, some children will have more than one seizure, usually during illnesses that cause a fever. Most children who have febrile seizures do not have any long-term health problems. […] A fever is the body’s natural response to infection, and it is not always necessary to reduce a fever. […] Nothing can be done to prevent a febrile seizure from occurring. […] Febrile seizures are not harmful to your child, and will not cause brain damage. […] If the seizure lasts more than five minutes call an ambulance. […] If my child has a febrile seizure, does that mean they have epilepsy? No. Febrile seizure are fits or seizures that occur only with a fever.

• #45 Patient education: Febrile seizures (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/febrile-seizures-beyond-the-basics/print

  Most febrile seizures are over by the time the child is seen by a health care professional. If the seizure stops on its own and the child is rapidly recovering, antiseizure medication is not needed. […] After a simple febrile seizure, most children do not need to stay in the hospital unless the seizure was caused by a serious infection requiring treatment. […] Treatment for prolonged seizures usually involves giving an antiseizure medication and monitoring the child’s heart rate, blood pressure, and breathing. […] After the seizure has stopped, treatment for the fever is started, usually by giving oral or rectal acetaminophen or ibuprofen and sometimes by sponging with room temperature (not cold) water. […] Children who have a febrile seizure are at risk for having another febrile seizure; this occurs in approximately 30 to 35 percent of cases.

• #46 Febrile Seizure

  https://fpnotebook.com/Neuro/ID/FbrlSzr.htm

  Vitamin Deficiency […] Iron Deficiency […] Zinc Deficiency […] Vaccinations […] Background […] Prophylactic antipyretics did not reduce Seizure risk and may reduce immune response to Vaccination […] V. Risk Factors: Recurrent Febrile Seizure […] Age of onset of first Seizure […] First Seizure age 1 to 3 years […] Second Febrile Seizure: 30% risk […] Third Febrile Seizure: 15% risk […] More than 3 Febrile Seizures: 5% risk […] High risk recurrence factors […] Complex Febrile Seizure […] Febrile Status Epilepticus […] Recurrence Febrile Seizure in 43% […] Recurrent febrile Status Epilepticus in 10% […] VI. Types: Febrile Seizure […] Simple Febrile Seizure (65-90%) […] Generalized Seizure […] Seizure duration 15 minutes

• #47

  https://www.singhealth.com.sg/patient-care/conditions-treatments/febrile-fit-childhood-illnesses

  Stay calm, DO NOT PANIC! […] Place the child on his side to prevent choking of secretions. Try to keep him comfortable by allowing him to lie on a flat surface. Make sure that hard or sharp objects are not in the way as they may hurt the child during the fit. […] Try to bring the fever down after the fit has ceased with either medication prescribed by your doctor, or sponging. However, do not feed any medication orally while your child is still drowsy. […] Always bring your child to the doctor if in doubt Bring the child to a doctor if: This is the first time the child has a febrile fit. […] Monitor the child’s body temperature closely every 2 – 4 hours. […] Feed the child medication and sponge him regularly to keep his body temperature below 38.5C. […] Rectal valium may also be used when fits occur. Check with your doctor on the usage.

• #48 Febrile Seizures: Risks, Evaluation, and Prognosis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0401/p445.html

  Hospital admission is usually not required for children with febrile seizures, although factors to consider when making the decision include younger age, need for further observation because of abnormal examination findings, or unreliable follow-up. […] A population-based cohort study found no increase in long-term mortality in children with simple febrile seizures compared with the general population. […] Children with a first febrile seizure have a 33% risk of a recurrent febrile seizure. […] Based on a cohort study, children with febrile seizures are five times more likely to develop subsequent unprovoked seizures compared with children with no febrile seizures. […] Given the benign nature of febrile seizures, routine use of these medications is not recommended to reduce recurrence of febrile seizures. […] Anticipatory guidance for parents should focus on reassurance, emphasizing the benign nature of febrile seizures and the overall excellent prognosis, even if the seizures recur.

• #49 5 Febrile Seizure Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/febrile-seizure-nursing-care-plans/

  Use this nursing care plan and management guide to help care for patients with febrile seizures. Learn about the nursing assessment, nursing interventions, goals and nursing diagnosis for febrile seizures in this guide. […] Nursing care plan and management for a child with febrile seizures include maintaining airway/respiratory function, maintaining normal core temperature, protecting from injury, and providing family information about the disease process, prognosis, and treatment needs. […] The following are the nursing priorities for patients with febrile seizures: Ensure patient safety during the seizure episode. Monitor and assess the duration and characteristics of the seizure. Administer appropriate antipyretic medications as prescribed to control fever. Provide emotional support and education to the patient and their caregivers regarding febrile seizure management and prevention. Collaborate with the healthcare team to identify and address the underlying cause of the fever.

• #50 Febrile Seizures – Child Neurology Foundation

  https://www.childneurologyfoundation.org/disorder/febrile-seizures/

  Long term treatment with an anti-seizure medication is not indicated, as the side effects from putting the child on a daily medication far outweigh the minimal discomfort to the child from a febrile seizure. […] Febrile seizures are unique because they are age dependent. This means they are related to brain maturity. They are largely outgrown by age 5. […] A febrile seizure can be a scary event for parents or caregivers. However, all in all, children with febrile seizures do very well.

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