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5 Benign Febrile Convulsions Nursing Care Plans

Posted by: Matt Vera in Nursing Care Plans January 25, 2012 Last updated on 0 188 Views

Febrile ConvulsionsA febrile seizure 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.

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 seizure disorders such as epilepsy later in life.

Read our Benign Febrile Convulsions Nursing Care Plans

1. Hyperthermia - 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.

Assessment Planning Nursing Interventions Rationale Expected Outcome
Subjective:

Objective:

the patient manifested:

  • febrile temp = 39°C
  • flushed skin and warm to touch
  • Convulsion
  • RR = 34 bpm

the  patient may manifest:

  • high fever
  • weakness
 Short term:

After 4 hours of nursing interventions, the patient’s temperature will decrease from 39°C to normal range of 36.5°C to 37°C.

Long Term:

After 2 days of nursing interventions, the patient will be able to be free of complications and maintain core temperature within normal range.
  1. Assess underlying condition and body temperature.
  2. Monitor and recorded vital signs.
  3. Remove unnecessary clothing that could only aggravate heat.
  4. Promote adequate rest periods.
  5. Provide TSB
  6. Advise to increase fluid intake.
  7. Loosen clothing.
  8. Administer IV fluids at prescribed rate. Monitor regulation rate frequently.
  9. Administer antipyretics as ordered.
  1. To obtain baseline date.
  2. To note for progress and evaluate effects of hyperthermia.
  3. To decrease or totally diminish pain.
  4. Reduces metabolic demands or oxygen.
  5. To promote surface cooling.
  6. To help decrease body temperature.
  7. To provide proper ventilation and promote release of heat through evaporation.
  8. To promote fluid management.
  9. Antipyretics lower core temperature.
 Short term:

The patient’s temperature shall have decreased from 39°C to normal range of 36.5°C to 37°C.

Long Term:

The patient shall have been able to be free of complications and maintain core temperature within normal range.

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