Febrile Convulsion

Subject: Child Health Nursing

Overview

A febrile seizure, sometimes referred to as a fever fit or febrile convulsion, is a type of seizure that is accompanied by an elevated body temperature (over 38°C) but no significant underlying medical condition. Children between the ages of 6 months and 5 years experience them most frequently. The majority of seizures last less than five minutes, and within sixty minutes the child is entirely back to normal. The body will stiffen, the limbs and legs will start to twitch, the kid will start to lose consciousness, the breathing may become erratic, and the temperature will rise above 38°C or 100.4°F. Simple febrile seizures, complex febrile seizures, and febrile status epilepticus are the three different forms of febrile convulsions.Simple febrile seizures are distinguished by their shorter duration, lack of focal features, and total durations of less than 15 minutes if they do occur in series. If more than one febrile episode occurs within a 24-hour period or the seizure lasts longer than 15 minutes, it is considered to be complex and likely to have focal features. A febrile seizure lasting more than 30 minutes is referred to as a febrile status epilepticus. Up to 5% of febrile seizure cases may experience it. For both acute presentations and recurrences, the vast majority of people do not need treatment. It is advised to administer lorazepam intravenously to people who have ongoing seizures.

Febrile convulsion

A febrile seizure, also referred to as a fever fit or febrile convulsion, is a type of seizure that is accompanied by an elevated body temperature (above 38°C) but no significant underlying medical condition. Children between the ages of 6 months and 5 years experience them most frequently. The majority of seizures last less than five minutes, and within sixty minutes the child is completely back to normal.

Causes

Fever more than 100.4°F in viral infections

Sign and symptoms

  • The body will stiffen.
  • The limbs and arms will start to tremble.
  • A child goes unconscious
  • Breathing patterns can vary.
  • Vomit
  • Increased secretions (foam at the mouth)
  • Temperature more than 38°C or 100.4°F

Diagnosis

  • History taking
  • EEG
  • Blood tests
  • Brain imaging

Types

  • Simple febrile seizures are distinguished by their shorter duration (less than 15 minutes), lack of focal features (meaning that the shaking is widespread rather than limited to a specific body part, such as an arm or leg), and, if they do occur in series, their combined duration is under 15 minutes (classically a generalized tonic-clonic seizure).
  • If more than one febrile episode occurs within a 24-hour period or the seizure lasts longer than 15 minutes, it is considered to be complex and likely to include focal features.
  • A febrile seizure lasting more than 30 minutes is referred to as a febrile status epilepticus. Up to 5% of febrile seizure cases may experience it.

Treatment

  • For both acute presentations and recurrences, the great majority of persons do not need therapy.
  • It is advised to provide lorazepam intravenously to people who suffer ongoing seizures.
  • Midazolam and diazepam, the other two benzodiazepines, are also acceptable choices.
  • By using antipyretics and tepud sponging, lower the body temperature.
  • Keep the temperature below 38°
  • With lateral and semi-prone positioning, keep the airway open.
  • To control a convulsion, administer an anticonvulsant like diazepam.
  • Keep the IV line open and use it to give medications as needed.
  • When a youngster is having a seizure, avoid smacking or shaking them.
  • Avoid placing anything hard or pointy nearby, and cushion the crib or bed's side rails.
  • Note the moment when the seizure began and ended.
  • The cause of the fever should be treated.
Things to remember
  • A febrile seizure, sometimes referred to as a fever fit or febrile convulsion, is a type of seizure that is accompanied by an elevated body temperature (over 38°C) but no significant underlying medical condition.
  • Children between the ages of 6 months and 5 years experience them most frequently.
  • The body will stiffen, the arms and legs will start to twitch, the child will start to lose consciousness, the breathing may become erratic, and the temperature will rise above 38°C or 100.4°F.
  • Simple febrile seizures, complex febrile seizures, and febrile status epilepticus are the three different forms of febrile convulsions.
  • Simple febrile seizures are distinguished by their shorter duration, lack of focal features, and total durations of less than 15 minutes if they do occur in series.
  • If more than one febrile episode occurs within a 24-hour period or the seizure lasts longer than 15 minutes, it is considered to be complex and likely to include focal features.
  • A febrile seizure lasting more than 30 minutes is referred to as a febrile status epilepticus. Up to 5% of febrile seizure sufferers may experience it.
  • For both acute presentations and recurrences, the vast majority of people do not need treatment.
  • It is advised to administer lorazepam intravenously to people who have ongoing seizures.

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