NUR117: Seizure Disorder Discussion

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NUR117: Seizure Disorder Discussion

NUR117: Seizure Disorder Discussion

12. A nurse is caring for a school-aged-child who is admitted with a poorly controlled seizure disorder. Which of the following should the nurse include in the plan of care?

Seizure Disorder

Seizure Disorder

• In any infant between 6 and 12 months of age who
presents with a seizure and fever, a LP is an option when
the child is considered deficient in Haemophilus
influenzae type b (Hib) or Streptococcus pneumonia
immunizations (ie, has not received scheduled
immunizations as recommended) or when immunization
status cannot be determined because of an increased
risk of bacterial meningitis.

Clinical Practice Guideline
Febrile Seizures: Guideline for the Neurodiagnostic Evaluation of the
Child With a Simple Febrile Seizure
Source:
http://pediatrics.aappublications.org/content/127/
2/389.full.pdf
• A LP is an option in the child who presents with a seizure
and fever and is pretreated with antibiotics, because
antibiotic treatment can mask the signs and symptoms of
meningitis.

Clinical Practice Guideline
Febrile Seizures: Guideline for the Neurodiagnostic Evaluation of the
Child With a Simple Febrile Seizure
Source:
http://pediatrics.aappublications.org/content/127/
2/389.full.pdf
• An electroencephalogram (EEG)should not be performed
in the evaluation of a neurologically healthy child with a
simple febrile seizure.

• The following tests should not be performed routinely
for the sole purpose of identifying the cause of a simple
febrile seizure: measurement of serum electrolytes,
calcium, phosphorus, magnesium, or blood glucose or
complete blood cell count.
• Neuroimaging should not be performed in the routine
evaluation of the child with a simple febrile seizure.
Clinical Practice Guideline

Febrile Seizures: Guideline for the Neurodiagnostic Evaluation of the
Child With a Simple Febrile Seizure
Source:
http://pediatrics.aappublications.org/content/127/
2/389.full.pdf
Febrile Seizures: Management
Source:
http://pediatriccare.solutions.aap.org/chapter.aspx?sectio
nId=56754849&bookId=1017&resultClick=1#56780691
Febrile Seizures
• Prognosis: excellent, except:
• 30-50% risk of recurrence

Treatment
• Prophylactic treatment with anticonvulsant agents could
be considered if neurologic development is abnormal, it
is a complex febrile seizure, or the child is younger than 1
year.

• Valproate and phenobarbital appear to be effective in
prophylaxis; phenytoin and carbamazepine do not
prevent recurrences. The adverse effects of
anticonvulsant therapy must be weighed against the
possible benefits.
• No evidence has been found that prophylactic treatment
reduces the risk of subsequent epilepsy.

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