Febrile seizures

What heart rate in a child can be d/t sepsis?

180 bpm

At what point in illness does febrile seizure occur?

1st day, can be first manifestation

MC age for febrile seizures

6m to 5y MC 12-18 mos

What temperature of fever does seizure occur at in most cases?

>39 C

Vaccination that has small risk of causing seizure the day of

DTap, IBV, HIB combination

MC viral infection causing febrile seizures

HHV-6

Meningeal s/sx 6-12 m old without HIB or pneumo vax patient already on abx late febrile seizure of status epilepticus what should be done?

LP

Vaccination that has risk of seizures 1-2 weeks after especially when given at an older age

MMR

What diseases should be considered in complex febrile seizure in <12 month old?

bacterial meningitis structural disease metabolic disease

Developmental delays are associated with this type of febrile seizure

complex

Focal seizure with loss of consciousness lasting over 15 minutes

complex febrile seizures

Home therapy for recurrent prolonged febrile seizure

diazepam rectal or midazolam nasal

Treatment of febrile seizure if >5 minutes

diazepam, lorazepam, midazolam

What happens when a seizure ends?

eyes close, deep breath, normal breathing

>30 minutes of continuous or intermittent seizures

febrile status epilepticus

What iron level is associated with febrile seizures

ferritin <30

Treatment of febrile seizure doesn't respond to BZD or febrile status epilepticus

fosphenytoin IV multiple meds

What is determinent of febrile seizures - height of fever or rate?

height of fever

What should you tell parents of a pt with simple febrile seizure about future epilepsy risk?

it's very very low - only 1-2% vs 1%

Are there found to be differences in deficits, intellectual outcomes and behavior in children with febrile seizures?

no

Do antipyretics have a role in recurrent prolonged febrile seizure?

no

Young age at first febrile seizure, 1st degree relative w febrile seizures, fever low at seizure, brief time between fever and seizure indicate risk for this

recurrence

What needs to be monitored if midazolam is administered?

respiratory and circulatory status

Tonic clonic MC in this type of febrile seizure

simple

Which type of febrile seizure is more common

simple

Generalized seizure with no LOC lasting under 15 min

simple febrile seizure

What seizure can you educate patient and d/c home?

simple febrile seizure

What is at an increased risk in children with complex febrile seizures

sudden death

Treatment of febrile seizure if it's stopped by the time child is in ED

treat fever