Febrile Seizures
Common first line medications for febrile seizures
Benzos: rectal diazepam intranasal midazolam * IV diazepam * IV lorazepam (longer duration & less SE) *- admin very slowly
Initial emergency management of febrile seizures
Do nothing, observe & record (time, onset, & actions) maintain airway (O2, jaw thrust, suction) protect from injury (lay on side, remove pad/hard surfaces, dont restrain) decrease external stimuli provide emotional support to family
Common second line medications for febrile seizures
IV forphenytoin IV phenobarb
What do you give for a febrile seizure lasting longer than 5 min?
ativan/diazepam
emergency management of febrile seizures if they continue
establish IV - fluids & meds assess BG and admin prn admin seizure meds (IV & rectum) insert NG to prevent aspiration manage thermoregulation maintain airway
causes of seizures
hypoglycemia hyponatremia stroke meningitis closed head injury fever
febrile seizures: outcomes
not negative outcomes relating to behavior, intelligence, or academic performance
Are seizure medications usually given for febrile seizures?
not routinely given unless repeated seizures are occurring
febrile seizures: is is a chronic condition?
not usually only 1/3 will have another fever related seizure
febrile seizures: associated infections
otitis media (inflam. of middle ear) pharyngitis adenitis
febrile seizures: definition
seizure related to a fever (>38.8/101.8) from rapid temp elevation
febrile seizures: age
uniquely pediatrics 3m-5y