Nursing Care of Hyperthermia in Children Febrile Seizures: A Case Report (original) (raw)
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ACTIONS OF MEDICAL SPECIALIST IN FEBRILE STATES DURING CHILDHOOD
2017
One of the most common symptoms in childhood sickness is the elevated body temperature. It is a cause for which parents seek the help of medical professionals. Hyperthermia is a condition that is due to pathological causes. During fever the thermoregulation is always impaired. Depending on the cause feverish reactions are divided into infectious and non-infectious. In most of the cases among children the increased body temperature is brief and it is an universal protective reaction, that prevents or slows down the progression of many microorganisms and stimulates the immune response. Health professionals are obliged to explain the reasons for the temperature raising. They have to clarify the need for treatment to parents, as well as to older siblings. Febrile conditions affect the whole organism. The prognosis for hyperpyrexic conditions and febrile seizures, as part of them, is favorable. It is necessary to conduct proper treatment for the disease that causes a rise in the body temperature. Also importatnt fact is the fast applying of preventive measures in case of febrile illness: physical therapy, cold compresses, wet wraps, massages, antipyretic agents, oral rehydration.
Medico-Legal Update, 2020
Background: Febrile convulsion is seizure correlating with fever in the presence of central nervous system or a cut infection electrolyte imbalance child old one month of age without notice. It is commonly infected of (3%-4%) of children under six years of age. Objective: The study aims: 1-Assess knowledge of nurses toward nursing care procedure for children with febrile convulsions. 2-Find out-relation between nurses' knowledge and demographic information (age,gender, marital status, level of education, Years' experience in the domain pediatric nursing, Years' experience in the neonatal intensive care unit, participate to training on Febrile convulsions). Methodology: Descriptive design (cross sectional research design) performed on stage nursing care on febrile convulsions for patient. in order Knowledge Toward Procedure Nursing Care on febrile convulsions patient the study has been conducted for nurses in emergency unit in AL-Nasiriyah City Hospitals including Muhammad AL-Mawsawi pediatric Hospital, Bint Al-Huda Maternity & Children Hospital .starting from (20th September 2019) to (30th of August 2020). A non-probability (Purposive) sample of (100) nurse from emergency unit in AL-Nasiriyah City Hospitals, including Muhammad AL-Mawsawi pediatric Hospital,Bint Al-Huda Maternity & Children Hospital. consisting study tool of two section : The first section is regarding that demographic characteristic of nurse and the another section is regarding that nurses' knowledge toward procedure nursing care on febrile convulsions for Patient. The results by using SPSS (Statistical Package for the Social Sciences) software version 25 descriptive data analysis include) frequencies and percentages, mean and standard deviation). inferential analysis (D.F. and Chi-Square) at P value 0.05. Results: indicates that nurses are within age group of (20-29) years were female. The majority of the sample are married. Regarding the level of education the majority participant of them college of nursing. Showed that non-significant correlation between the nurses' knowledge with their demographic characteristic at (p > 0.05), except their gender and years' experiencethem significant. Conclusion: Majority of the sample are age group of (20-29) years old .There is non-significant correlation between the nurses' knowledge with their demographic characteristic at (p > 0.05), except their gender and years' experience in domain of pediatric nursing revealed significant differences relationship with their knowledge.
The assessment of risk factors for febrile seizures in children
Neurologia I Neurochirurgia Polska, 2017
The aim of the paper was to assess the risk factors of febrile seizures in children. Methods: The paper presents an analysis of a group of 176 children aged 6 months to 5 years who were admitted to A&E because of febrile seizures. Results: The analysed group of 176 children comprised 61.96% boys and 38.07% girls, and the average age equalled 23 months. Family history was significant in 9.66% of patients. A statistically significant difference was noticed between insignificant family history and the incidence of febrile seizures. In all the studied groups of children the factor that determined the incidence of febrile seizures was a sudden increase in the body temperature with an infection of the upper respiratory tract of several day's duration as another cause. Febrile seizure incident was most frequently associated with a sudden increase in the body temperature in 53.40% children. A statistically significant difference was observed between persisting fever and an increase thereof during the day. Yet another factor predisposing for febrile seizures incidence was an infection of the upper respiratory system that could be observed in 32.95% patients. The mean body temperature when the seizures occurred was 38.9 8C. Conclusions: A sudden increase in the body temperature within the first day of pyrexia predisposes for the incidence of febrile seizures and it was proved that it depends on how long fever persists during the day. The other factor triggering the seizures was an infection of the upper respiratory tract of several days' duration.
To observe the management and treatment of febrile seizures in children that is to prevent the condition from becoming worse and to prevent it from causing other complications. A Perform was designed to collect data related to the patient’s treatment . when patients are administration of drugs then we(Doctor of pharmacy) identified new adverse drug reactions like drowsiness, vomiting etc. and also identified new side effects due to antiepiliptic drugs in piadiatric patients with seizures like drowsiness, respiratory dystress, irregular respiratory movements, respiratory depression (due to the Increase the dose) and identified new home remedies like cold sponging, Result: Percentage of male patients was greater as compared to females because of genetic factors. Mode of admission in febrile fits was always emergency and not outdoor. Fits was greater in patient’s age ranging from 6 months-2years. The most common cause of fever leading to febrile convulsions was respiratory tract infections 40%, 2nd most common being UTI that accounts for 24%, CNS infections being 8% and other causes 24%.Family history was positive in 12% cases only, 88% patients don’t have significant family history for febrile fits. Most of the febrile fits were controlled in the emergency department with medications . There was a precise role of pharmacist within the required premises for the regular availability of drugs, but there was a lack of active patient counseling procedure . The present guideline paper addresses the emergency management of generalized febrile seizures age. It replaces the previous statement from previous years. and in cludes a new treatment algorithm and table of recom mended medications, reflecting new evidence and the evolution of clinical practice over the past 15 years. The document focuses on the acute pharmacological manage ment of febrile seizures. , but some issues regarding supportive care, diagnostic approach and treatment of febrile seizures discussed.
Risk Factors for Febrile Seizures in Children Aged 6 – 59 Months in Surabaya, East Java
Althea Medical Journal, 2021
Background: Febrile seizures are common in children under 5 years of age. Parents are concerned when their children have seizures; therefore, it is necessary to provide promotive and preventive education regarding the risk factors for febrile seizures so that parents are more prepared. This study aimed to explore the risk factors for febrile seizures in children. Methods: This case-control study was conducted on 170 children. Sampling was carried out by purposive sampling on inpatients and/or outpatients at the Department of Child Health Dr. Ramelan Naval Hospital Surabaya during May 2019-July 2020. Secondary data for children with fever were retrieved from medical records, with seizures (n=85) and without seizures (n=85) as a control group. Furthermore, data on temperature, age, birth weight, and history of asphyxia were analyzed and compared, using the chi-square test or Fisher's exact test. Results: There was a significant difference between the case and control groups regarding the history of asphyxia and the occurrence of febrile seizures (p=0.002; OR=26.39; and 95% CI 1.52-455.62). There was no significant difference between the risk factors for high temperature (p=0.12), age (p=0.52), or birth weight (p=0.37) with the occurrence of febrile seizures. Conclusions: A history of asphyxia in children under five years is a risk factor for febrile seizures. Appropriate education from health professionals can help parents improve their knowledge, attitudes, and practices in dealing with febrile seizures and their risk factors.
https://ijshr.com/IJSHR\_Vol.3\_Issue.3\_July2018/IJSHR\_Abstract.009.html, 2018
The present study was aimed to assess the knowledge on prevention and immediate management of child with febrile seizure among mothers of under five children. The objectives of the study was; to assess the level of knowledge on febrile seizure and its prevention and immediate management among mothers of under five children & to find out the association between level of knowledge on febrile seizure and its prevention and immediate management and socio demographic variables. The study was conducted in ASTER MIMS hospital Calicut with sample size of 60 mother's selected using convenience sampling method. The conceptual framework of the study was based on Nola. J. Pender's Health Promotion Model. A qualitative non-experimental approach was chosen for this study. Levels of knowledge were assessed using structured questionnaire. The result shows that 31.6% of subjects have poor knowledge, 40% of subjects have average knowledge and 28.3% of subjects have good knowledge regarding prevention and immediate management of child with febrile seizure. The chi-square test revealed that the association between demographic variable and level knowledge on febrile seizure and its prevention and immediate management. It shows that there was a significant association between age of the mother (X 2 =16.19> 12.59) and educational status of the mothers (X 2 =20.2> 15.51) at 0.05 level of significance whereas there was no significant association between religion, type of family, place of residence, occupational status of mothers and income of family with level of knowledge on febrile seizure.
A Retrospective Study of Clinical Presentation of Child with Febrile Seizure and Its Duration
American Journal of Pediatrics, 2020
Background: Febrile Seizure is defined as seizure occurring during febrile episode (body temperature > 100.4°F or 38°C) in a child between 6 to 60 months, in absence of CNS infection, metabolic abnormalities, neurological condition and a history of prior afebrile seizure. Some of the major concerns regarding febrile seizure are its duration and recurrence. Risk factors associated with its duration are poorly understood. Method: A retrospective study was conducted from January to December 2018 among children admitted to Siddhi Memorial Hospital (for Women and Children), Bhaktapur (Nepal) with a diagnosis of febrile seizure. Information on those children, including gender, age of onset, type of seizure, duration of seizure etc., were collected from patient records. Children meeting the standard definition of febrile seizure were included in the study. Data analysis was done using Microsoft Excel and STATA, version 15. A p value <0.05 was considered statistically significant. Result: A total of 1389 children had been admitted to pediatric department during the study period. Among them, 124 children (i.e. 8.9% of total admission) met the criteria of febrile seizure and were hence included in the study. Majority of the cases had Simple febrile Seizure (77%) and the remaining had Complex febrile seizure (23%). The study population was of mixed gender (60% male and 40% female). Mean age of presentation was 23.7 (±11.7) months. The highest prevalence was seen in children < 2 years of age. Mean duration of seizure was 5.11 (±4.84) minutes. URTI and AGE were the leading cause of febrile seizure, with prevalence of 45% and 42% respectively. 10% of children were stunted and 5% of children were wasted. Mean height for age was-0.43 (±1.5) SD and mean weight for height was-0.31 (±1.02) SD. Mean serum sodium, potassium and calcium level were 133 (±2.81) meq/l, 4.4 (±3.0) meq/l and 8.14 (±0.99) mg/dl respectively and mean random blood sugar was 108.4 (±24.17) mg/dl. No association was found between serum sodium level and duration of seizure (correlation=-0.19, p=0.832), serum potassium level and duration seizure (correlation=-0.03, p=0.7). Positive correlation were found between serum calcium level and duration of seizure (correlation=+0.25, p=0.03), as well as blood sugar level and duration of seizure (correlation=+0.19, p=0.027). Conclusion: Since blood sugar and serum calcium levels tended to be high among our study subjects, their impact on duration of febrile seizure should be investigated further. Serum sodium and potassium level had no effect on seizure duration.
A retrospective study of febrile seizures among children admitted in a tertiary care hospital
International Journal Of Community Medicine And Public Health, 2018
Background: Convulsion is the most common neurologic finding in children (10%). Prevention of febrile convulsions is therefore desirable, and is of particular relevance in children with factors carrying a high risk of recurrence. Aim and Objectives were to study the demographic profile and some risk factors of febrile seizures among children.Methods: A record based descriptive cross-sectional study was conducted at paediatric department of Dr. S.C.GMC, Nanded. Considering inclusion…
Parent awareness about the onset of febrile seizures and fever
Zdravje otrok in mladostnikov / Health of Children and Adolescents, 2022
Introduction: Many parents believe that a body temperature of 39.0°C is harmful, puts their child at risk, and must be reduced immediately. But fever is merely a symptom, not a disease. In fact, it is essential for a child to successfully recover from their disease. Febrile seizures, which are the most common type of convulsions among children, often raise concern among parents since they resemble epileptic seizures. It is important to raise awareness among parents about the different stages of fever, the positive and negative effects of fever, and the methods used to reduce fever. This knowledge is the key to the successful prevention and treatment of febrile seizures. Aim of the research was to determine the level of parents' awareness, knowledge, and reactions to febrile seizures. Methods: We conducted a quantitative empirical study based on data collection. The data was acquired by means of a questionnaire, which was drawn up following a literature review. The research sample included 50 randomly selected parents. Results: Upon analyzing the results, we found that parents are relatively well acquainted with the occurrence of fever. Most are familiar with the different methods of reducing fever, but more than half of them start reducing it too early, which ultimately prevents the body from fending off the disease on its own. Our study focused on parents' familiarity with febrile seizures. The results indicate that only 10 % of parents participating in the study would turn their child on the side during a febrile seizure, and that only a small percentage would administer oral medications to their child during a febrile seizure. Based on the data acquired, we conclude that parents are well acquainted with the symptoms of febrile seizures and that they would immediately recognize its onset. Raising concern is the finding that 54 % of parents participating in the study claim that the outpatient department for children and schoolchildren failed to provide any information on febrile seizures. Discussion and conclusion: Fever and
Aims and Objectives: To study gender predilection, risk of family history of Febrile Seizures, family history of epilepsy and compare the lab parameters in children with Febrile Seizures and children with Febrile Illness. Methods: A case control study done in Niloufer Hospital for a period of one year. It was composed of 120 children out of which 60 were cases with Febrile Seizures and 60 were without Febrile Seizures. Results: Out of 60 cases of Febrile Seizures 76% cases were simple Febrile Seizures and 24% were complex Febrile Seizures. 23% cases had family history whereas in controls 6.6% had family history. Conclusion: In this study majority of the children were below two years of age and the incidents of Febrile Seizures is higher in males which is 53.8%.There is significant difference of serum sodium levels between cases and control.