What are the risk factors of febrile seizures?
- family hx
- possible viral illness before 18 months
What do seizure precautions depend on?
type of seizure
What are some seizure precautions?
- side rails up when child is sleeping/resting
- bed in low position
- padded side rails
- helmet
- oxygen and suction at bedside
- avoid triggering factors
- special precautions for home and school
What do you do during a tonic-clonic seizure? Or any seizure.
- remain calm
- ease to floor
- put padding under head
- loosen clothing, remove glasses
- clear the area
- allow seizure to end
- turn on side
- never restrain or put things in the mouth
What do you do after a tonic clonic seizure? Or any seizure.
- assess: breathing, injuries
- keep child NPO and on side
- stay with the child
What is the treatment of choice for pediatric pt’s with seizures?
- monotherapy
- gradual increase in dose until seizures are controlled
- monitor drug levels and side effects
- always wean and never stop abruptly
When can children with seizures be discontinued from pharm management?
-seizure free for 2 years
-EEG is normal
-seizure free during puberty or has frequent infections
-
When is recurrence of seizures possible following cessation of treatment?
possible within the first year
What are some home management procedures that must be enforced for a child with seizures?
- CPR for family
- rectal diazepam available for intractable seizures
- possible activity restrictions
- possible helmet
- never swim alone
- caregivers and teachers must be made aware
What anti seizure medication requires dental care
dilantin
