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Febrile Seizure In Children

AMBULATORY CARE:

A febrile seizure

is a convulsion (uncontrolled shaking) caused by a fever of 100.4°F (38°C) or higher. A fever caused by any reason can bring on a febrile seizure in children. Febrile seizures can be simple or complex. A simple febrile seizure lasts less than 15 minutes and does not happen again within 24 hours. A complex febrile seizure lasts longer than 15 minutes or may happen again within 24 hours. Febrile seizures do not cause brain damage or other long-term health problems.

Common symptoms include the following:

  • Stiff arms or legs
  • Arm, leg, or facial twitching or jerking
  • Eyes rolling up and back
  • Loss of consciousness

Call 911 for any of the following:

  • Your child stops breathing, turns blue, or you cannot feel his or her pulse.
  • Your child cannot be woken after his or her seizure.
  • Your child's seizure lasts more than 5 minutes.
  • Your child has more than 1 seizure before he or she is fully awake or aware.

Seek care immediately if:

  • Your child's fever does not improve after you give him or her medicine.
  • You have questions or concerns about your child's condition or care.

Contact your child's healthcare provider if:

  • Your child's fever does not improve after you give him medicine.
  • You have questions or concerns about your child's condition or care.

Medicines:

Your child may be given medicine to treat the cause of his or her fever, such as medicine to treat an infection. Your child may also be given medicine prevent another seizure if he or she had a seizure that lasted 5 minutes or longer. Your child may also be given the following:

  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give your child and how often to give it. Follow directions. Read the labels of all other medicines your child uses to see if they also contain acetaminophen, or ask your child's doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.

If your child has another seizure:

  • Do not panic.
  • Note the start time of the seizure. Record how long it lasts.
  • Gently guide your child to the floor or a soft surface. Remove sharp or hard objects from the area surrounding your child, or cushion his or her head.
    First Aid: Convulsions
  • Place your child on his or her side to help prevent him or her from swallowing saliva or vomit.
    First Aid: Convulsions
  • Remove any objects from your child's mouth. Do not put anything in your child's mouth. This may prevent him or her from breathing.
  • Perform CPR if your child stops breathing or you cannot feel his or her pulse.

Follow up with your child's healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

© 2017 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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