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5 Benign Febrile Convulsions Nursing Care Plans

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By Matt Vera, BSN, R.N.
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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.

A 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.

Nursing Care Plans

Here are 5 benign febrile convulsions nursing care plans.

  1. Hyperthermia
  2. Imbalanced Nutrition
  3. Ineffective Tissue Perfusion
  4. Risk for Infection
  5. Risk for Injury

1. Hyperthermia

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Hyperthermia

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

Patient may manifest

  • Increase in temperature
  • Flushed skin
  • Convulsions

Nursing Diagnosis

  • Hyperthermia

Outcomes

  • Patient’s temperature will decrease from [39°C] to normal range of [36.5°C to 37°C].
  • Patient will be free of complications and maintain normal core temperature.
Nursing InterventionsRationale
Assess underlying condition and body temperature.To obtain baseline data.
Monitor and recorded vital signs.To note for progress and evaluate effects of hyperthermia.
Remove unnecessary clothing that could only aggravate heatTo decrease or totally diminish pain.
Promote adequate rest periods.Reduces metabolic demands or oxygen.
Provide TSBTo promote surface cooling.
Advice to increase fluid intake.To help decrease body temperature.
Loosen clothing.To provide proper ventilation and promote release of heat through evaporation.
Administer IV fluids at prescribed rate. Monitor regulation rate frequently.To promote fluid management.
Administer antipyretics as ordered.Antipyretics lower core temperature.
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1. Hyperthermia

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Matt Vera, BSN, R.N.
Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
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