Seizures & Febrile Seizure
What are two examples of an acquired seizure?
1. developmental defects, 2. genetics
What is the risk of recurrence?
33%
Do antipyretics prevent febrile seizures?
NO
Do febrile seizures cause brain damage?
NO
Will simple febrile seizures reoccur within 24 hrs?
NO
What should you have ready for the patient having a febrile seizure?
O2 and suction
What is the primary medical treatment when a seizure is occuring?
Oxygenation because their o2 sats will dip very fast
What is a seizure associated with?
a fever of 38.5 and above, but without evidence of any intracranial infection or acute electrolyte imbalances
What does this hyper excitation result in?
abnormal motor, sensory, autonomic, or psychic activity or a combination
What is the age group for a febrile seizure?
ages 6 months to 6 years
What is the main pharmacological methods of treatment and what route?
anticonvulsants or antiseizure and given rectally
What are some med classes that are used to treat the fever with a seizure?
antipyretics, NSAIDS, Aspirin
What type of medication therapy would be given intra seizure?
benzodiazepines because they act as a CNS depressant
What type of O2 will you administer?
blow by O2
Who are febrile seizures more common in?
boys
What is the cause of a febrile seizure?
direct cause unknown
What does a complex partial seizure affect?
electrical discharge in the entire brain
What is a seizure?
electrical disturbance in brain
What are simple partial seizures generally without?
impairment of consciousness
What are seizures?
incidents in which there is hyper excitation of the neurons in the brain
Why should blood sugars be monitored after a seizure?
increased muscle activity and to rule out hypoglycemia/and intracranial infections as cause of seizure
How long does a febrile seizure usually last?
less than 1 minute up to 15 minutes
What are some risk factors for recurrent seizures?
less than 18 months, family history, less than 1 hour between onset of febrile illness, relatively low temperature at 1st seizure
How long does a simple febrile seizure last?
less than ten minutes
How long is a complex febrile seizure?
longer than 10 minutes
What is the most important nursing role during a seizure according to DAY?
observing all movements the child is doing during their seizure to document
During a seizure how would you place the patient?
on the side with the head flexed forward
What does a simple partial seizure affect?
one part of the brain
What is the most common complication of seizures?
recurrent seizures
Why is a lumbar puncture performed on a child who has experienced a seizure?
to rule out other possible causes of seizures, like meniginits
How many seizures will the patient have with complex?
two or more within 24 hrs
When will the child regain consciousness with a complex seizure?
within 1 hour
What population are febrile seizures common in
Asian