Benign Febrile Convulsions.The first febrile seizure is one of life’s most frightening moments for parents. Most parents are afraid that their child will die or have brain damage. Thankfully, simple febrile seizures are harmless. There is no evidence that simple febrile seizures cause death, brain damage, mental retardation, a decrease in IQ, or learning difficulties. (www.nlm.com) However, a very small percentage of children go on to develop other Benign Febrile Convulsions disorders such as epilepsy later in life.
A Benign Febrile Convulsions is a convulsion in a child triggered by a fever. Such convulsions occur without any underlying brain or spinal cord infection or other neurological cause. According to studies, about 3-5% of otherwise healthy children between the ages of 9 months and 5 years will have a seizure caused by a fever. Toddlers are most commonly affected. Most occur well within the first 24 hours of an illness, not necessarily when the fever is highest.
Symptoms of Benign Febrile Convulsions
The symptoms of febrile seizures vary based on the two types.
Symptoms of simple febrile seizure are:
- Loss of consciousness
- Twitching limbs or convulsions (usually in a rhythmic pattern)
- Confusion or tiredness after the seizure
- No arm or leg weakness
Simple febrile seizures are the most common. Most last less than 2 minutes, but can last as long as 15 minutes. Simple febrile seizures only happen once in a 24-hour period.
Symptoms of complex Benign Febrile Convulsions are:
- Loss of consciousness
- Twitching limbs or convulsions
- Temporary weakness usually in one arm or leg
Complex Benign Febrile Convulsions last for more than 15 minutes. Multiple seizures may happen over a 30-minute period. They may happen more than once during a 24-hour time frame as well.
When a simple or complex Benign Febrile Convulsions occurs repeatedly, it’s considered a recurrent febrile seizure. Symptoms of recurrent febrile seizures include:
- Your child’s body temperature for the first seizure may have been lower.
- The next seizure often happens within a year of the initial seizure.
- Fever temperature may not be as high as the first febrile seizure.
- Your child has fevers frequently.
This type of seizure tends to occur in children under 15 months of age.
Causes of Benign Febrile Convulsions
Febrile seizures generally happen when your child has an illness, but many times they occur before you may realize your child is sick. That’s because they usually take place on the first day of an illness. Your child may not be showing any other symptoms yet. There are several different causes for febrile seizures:
A fever that occurs after immunizations, especially the MMR (mumps measles rubella) immunization, can cause febrile seizures. A high fever after immunizations most often occurs 8 to 14 days after your child has been given the immunization.
A fever that’s the result of a virus or a bacterial infection can cause febrile seizures. Roseola is the most common cause of febrile seizures.
Risk factors, such as having family members who have had febrile seizures, will put a child at a higher risk for having them.
Treating Benign Febrile Convulsions
While febrile seizures often don’t cause any lasting issues, there are important steps to take when your child has one.
Always contact a doctor or medical professional in the emergency department immediately following a seizure. The doctor will want to make sure your child doesn’t have meningitis, which can be serious. This is especially true for children less than 1 year of age.
While your child is having Benign Febrile Convulsions:
- Roll them onto their side
- Don’t put anything in their mouth
- Don’t restrict the movement of the convulsions or twitching
- Remove or move any objects that might harm them during the convulsions (furniture, sharp items, etc.)
- Time the seizure
After the febrile seizure ends, see a doctor or emergency medical professional. Have your child take medication to lower their fever, like ibuprofen (Advil) if they’re over 6 months old or acetaminophen (Tylenol). Wipe their skin with a washcloth or sponge and room temperature water to cool them down.
Hospitalization is only required if your child has a more serious infection that needs to be treated. The majority of children don’t need any medication for a febrile seizure.
Treatment of recurrent febrile seizures includes all of the above plus taking a dose of diazepam (Valium) gel that’s administered rectally. You can be taught to give the treatment at home if your child has recurrent febrile seizures.
Children with recurrent febrile seizures have an increased chance of having epilepsy later in their lives.
Can you prevent Benign Febrile Convulsions?
Febrile seizures can’t be prevented, except in some cases of recurrent febrile seizures.
Reducing your child’s fever with ibuprofen or acetaminophen when they’re sick doesn’t prevent febrile seizures. Since the majority of febrile seizures have no lasting effects on your child, it’s normally not recommended to give any anti-seizure medications to prevent future seizures. However, these preventative medications may be given if your child has recurrent febrile seizures or other risk factors.
Benign Febrile Convulsions are normally nothing to worry about even though it can be frightening to see a child have one, particularly for the first time. However, have your child seen by your doctor or another medical professional as soon as you can after your child has a febrile seizure. Your doctor can confirm that it was in fact a febrile seizure and rule out anything else that may need further treatment.
Contact a medical professional immediately if the following symptoms occur:
- Neck stiffness
- Difficulty breathing
- Severe sleepiness
Your child will usually go back to normal activities soon after the seizure ends without further complications.
Here are 5 benign febrile convulsions nursing care plans
Benign Febrile Convulsion is a convulsion triggered by a rise in body temperature. Fever is not an illness and is an important part of the body’s defense against infection. Antigens or microorganisms cause inflammation and the release of pyrogens which is a substance that induces fever.
Patient may manifest
- Increase in temperature
- Flushed skin
- Patient’s temperature will decrease from [39°C] to normal range of [36.5°C to 37°C].
- Patient will be free of complications and maintain normal core temperature.
|Assess underlying condition and body temperature.||To obtain baseline data.|
|Monitor and recorded vital signs.||To note for progress and evaluate effects of hyperthermia.|
|Remove unnecessary clothing that could only aggravate heat||To decrease or totally diminish pain.|
|Promote adequate rest periods.||Reduces metabolic demands or oxygen.|
|Provide TSB||To promote surface cooling.|
|Advice to increase fluid intake.||To help decrease body temperature.|
|Loosen clothing.||To provide proper ventilation and promote release of heat through evaporation.|
|Administer IV fluids at prescribed rate. Monitor regulation rate frequently.||To promote fluid management.|
|Administer antipyretics as ordered.||Antipyretics lower core temperature.|
The nutritional requirements of the human body reflect the nutritional intake necessary to maintain optimal body function and to meet the body’s daily energy needs. Malnutrition (literally, “bad nutrition”) is defined as “inadequate nutrition,” and while most people interpret this as undernutrition, falling short of daily nutritional requirements. The etiology of malnutrition includes factors such as poor food availability and preparation, recurrent infections, and lack of nutritional education.
Patient may manifest
- Low weight
- Loss of appetite
- Poor muscle tone
- Imbalanced Nutrition: Less than the body requirement related to economical factors.
- Patient’s will identify measures to promote nutrition and follow the treatment regimen.
- Patient weight will be within normal values.
|Review patient’s records.||To obtain baseline data.|
|Assess underlying condition.||To determine specific interventions.|
|Discuss eating habits and encourage diet for age.||To achieve health needs of the patient with the proper food diet for his disease.|
|Note total daily intake includes patterns and time of eating.||To reveal change that should be made in the client’s dietary intake.|
|Consult physician for further assessment and recommendation regarding food preferences and nutritional support.||For greater understanding and further assessment of specific food.|
Ineffective Tissue Perfusion
The circulation to the tissues is not getting enough oxygen or nourishment. Decrease in oxygen resulting in the failure to nourish the tissues at the capillary level.
Patient may manifest
- Decreased hgB concentration
- Body temperature changes
- Skin discoloration
- Ineffective tissue perfusion related to decreased Hgb concentration in blood as evidenced by low Hgb count in CBC result
- Patient will demonstrate behaviour lifestyle changes to improve circulation.
- Patient’s S.O. will verbalize understanding of the condition.
|Determine factors related to individual situation.||To gain information regarding the condition.|
|Evaluate for signs of infection especially when immune system is compromised.||To observe for possible risk factors.|
|Discuss individual risk factors.||This information would be necessary for the client’s S.O.|
|Elevate head of bed at night.||To increase gravitational blood flow.|
|Discuss the importance of a healthy diet.||To promote a healthy diet to help increase RBC synthesis and Hgb count for faster recovery.|
Risk for Infection
The immune system is the body’s defense against bacteria, viruses, and other foreign organisms or harmful chemicals. It is very complex and it has to work properly to protect us from the harmful bacteria and other organisms in the environment which may infect our body. If the immune system is compromised, it can affect the normal production of WBC from the bone marrow. If there is an increase in number of WBC, therefore it may increase the possibility to increase infection.
Patient may manifest
- body weakness
- poor muscle tone
- Patient will verbalize understanding of ways on how to prevent spread of infection.
- Patient will be free from infections and further complications
|Establish good working relationship with the client and S.O.||To gain their trust and cooperation|
|Monitor and record vital signs||For comparative baseline data|
|Determine pt’s individual strength||To know when to assist client|
|Provide peaceful environment||To promote optimum level of functioning|
|Provide adequate rest and sleep.||To prevent fatigue and conserve energy|
|Emphasize importance of handwashing||To prevent occurrence of further infections|
|Provide safety measures||To prevent falls and injuries|
|Monitor I & O||To note for imbalances|
|Advice pt to increase oral fluid intake when allowed||To replace fluid electrolyte loss|
Risk for Injury
A seizure or convulsion is the visible sign of a problem in the electrical system that controls your brain. A single seizure can have many causes, such as a high fever and lack of oxygen. Hemoglobin is a protein in red blood cells that carries oxygen. Therefore, Low levels of hemoglobin in the human body may result to seizure. During episodes of convulsion, patients are prone to injuries since they may strike different objects due to uncontrollable muscle spasms.
Patient may manifest
- Risk for injury related to possible convulsion
- The SO will modify environment as indicated to enhance safety.
- The SO will verbalize understanding of individual factors that contribute to possibility of injury.
- The patient will be free from injury.
|Ascertain knowledge of safety needs/ injury prevention||to prevent injuries in home, community, and work setting|
|Note clients gender, age, developmental stage, decision making ability, level of cognition/competence||affects client’s ability to protect self/others and influence choice of interventions/ teachings|
|Provide health care within a culture of safety||to prevent errors resulting in client injury, promote client safety and model safety behaviors for client/SO|
|Identify interventions/safety devices||to promote safe physical environment and individual safety|
|Discuss importance of self monitoring of conditions/ emotions||it can contribute to occurrence of injury|
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