Febrile Seizures Flashcards
Febrile seizures affect approximately 3% of children. Usually occurs between ___ months and ___ years. RARELY occurs after the age of 5. Twice as frequent in ____.
six
two
males
Febrile seizures usually occur when the patients temperature goes over _____°F. Seizure occurs while the temperature is increasing steadily NOT when the patient already has a high temperature.
101.8°F
Febrile Seizures are usually over before the patient arrives in the E.R. The duration of the seizure depends on how rapidly the temperature increased. Do NOT use ____ baths to decrease the temperature in a patient with febrile seizures. This is NOT effective. ON EXAM.
cold/tepid baths
Nursing Implications:
Avoid cold or tepid baths. This is NOT effective in decreasing the patients temperature.The nurse should implement vigorous use of ________ medications.
Ex. Acetaminophen
Antipyretic
________ is the number one treatment for a fever.
________ is the number two treatment for a fever.
________ is the number three treatment for a fever.
Acetaminophen
Motrin
Ibuprofen
Project child from injury during febrile seizure. Call 911 if the seizure duration is longer than _____ minutes. Control is key if this is ongoing. Usually has no neurological sequela.
5
Treatment for febrile seizures:
Prophylaxis with anticonvulsant medication. -If a ____ or prolonged seizures.
-If a patient has neurological ________.
What should the nurse recommend to the Dr. if the patient has a first-degree relative that has a seizure history?
focal
anomalies
That the patient may truly need medication for prophylaxis permanently to control seizures.
Treatment for febrile seizures:
Prophylaxis with anticonvulsant medication.
-If child is younger than ____-year-old.
-If child has multiple seizures in a _____-hour period. IMPORTANT.
What should the nurse recommend to the Dr. if the patient if the patient is three years old and is having their first seizure ever?
one
24
Chances are that they don’t need to be put on medication for prophylaxis permanently.
Quiz: The brother of an infant with febrile seizures is NOT at high risk for a febrile seizure because he is 7years old. Between the ages of 3 and 5 is the most common time to see patients with febrile seizures. Febrile seizures in patients over the age of 5 is NOT commonly seen. The NURSING PRIORITY is you do NOT want the child’s fever to rise too ____ too ____. This is the mechanism that causes the seizure.
High
Fast
Febrile seizures are defined as a ______ disorder of childhood. That means this is ONLY temporary. 95% to 98% children with febrile seizures will NOT have epilepsy or neurologic damage.
transient
