4 Febrile Seizure Nursing Care Plans


Febrile seizures are seizures that happen in children between the ages of 6 months and 5 years, that is associated with high fever but with an absence of intracranial infection, metabolic conditions, or previous history of febrile seizures. It is subdivided into 2 classifications: A simple febrile seizure is brief, isolated, and generalized while a complex febrile seizure is prolonged (duration of more than 15 minutes), focal (occurs in one part of the brain), or multiple (occurs more than once within 24 hours).

Febrile seizures most often occur within 24 hours of the onset of a fever and can be the first indication that a child is sick. Symptoms may include a high fever (102°F to 104°F [38.9°C to 40°C]), sudden loss of consciousness, eye rolling, involuntary moaning, crying, and passing of urine, rigid (stiff) limbs, apnea or jerky movements on one side of the body (such as arm and leg).

Nursing Care Plans

Nursing goals for a child experiencing febrile seizures include maintain airway/respiratory function, maintain normal core temperature, protection from injury, and provide family information about disease process, prognosis, and treatment needs.

Here are four (4) nursing care plans (NCP) and nursing diagnosis (NDx) for febrile seizure:

  1. Ineffective Airway Clearance
  2. Hyperthermia
  3. Risk for Injury
  4. Deficient Knowledge

Deficient Knowledge

Nursing Diagnosis

May be related to

  • New disease
  • Lack of exposure to information about ongoing care

Possibly evidenced by

  • Expressed request for information about medication treatment
  • Cause of seizures and when to report to physician

Desired Outcomes

  • Parents will obtain information regarding care of the child.
Nursing Interventions Rationale
Assess parents’ perceptions and knowledge about disease condition, fears, and misconceptions about disorder, nature, and frequency of seizures. Provides information regarding the long-term care of a child with a seizure disorder and how to deal with seizures and the stigma attached to this disorder.
Educate parents that a febrile seizure is more of a symptom of fever than a long-term condition. Understanding this information can help the parent understand the responsibility to take for future care.
Advise parents and child to report dizziness, drowsiness, gastrointestinal upset, nausea, vomiting, photosensitivity, and rash. These are the side effects of anticonvulsants and sedatives.
Inform parents about the need for follow up laboratory studies such as blood count and liver function test as indicated. Prevents toxicity and other severe side effects of drug therapy by adjusting the dosage or changing medications.
Inform that seizures may be provoked by an illness or infection, hyperactivity, lack of sleep, abrupt discontinuation of medication, emotional stress, or other causes specific to the child. Increases knowledge and understanding of causes of increased frequency of seizures.
Advise parents to supervise the child in the bathroom, avoid exposure to incidents that trigger a seizure, avoid dangerous play and toys, pad areas in bed, or wear protective clothing if needed. Provides precautions to prevent injury as a result of a seizure.
Encourage parents to notify school nurse and teach of disorder and actions to take including a telephone number to call. Promotes knowledge and understanding to prevent injury and embarrassment to the child.
Discuss any activity restrictions such as sports, rough play, need for someone in attendance. Promotes knowledge of activity based on individual child and seizure activity and response to therapy.
Alert parents of possible changes in behavior, activity, or personality or changes in school performance or interactions with family and peers. Indicates effects of anticonvulsants on behavior and learning.

See Also

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