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Recognition and management of febrile convulsion in children

Siba Prosad Paul1, Emily Natasha Kirkham2, Bethany Shirt1

  • 1Bristol Royal Hospital for Children, Bristol, England.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|August 27, 2015
PubMed

Insights

Febrile convulsion, a seizure with fever in children, is usually brief and resolves on its own. Nurses play a key role in managing febrile seizures and educating parents about this common condition.

Area of Science:

  • Pediatrics
  • Neurology

Background:

  • Febrile convulsion is a common childhood neurological disorder.
  • It is defined as a seizure associated with fever in children aged 6 months to 6 years, excluding intracranial infections or electrolyte imbalances.

Purpose of the Study:

  • To outline the presentation, management, investigations, and prognosis of febrile convulsion.
  • To highlight the role of nurses in managing febrile convulsion and educating parents.

Main Methods:

  • This article reviews the clinical presentation and diagnostic criteria for febrile convulsion.
  • It discusses symptomatic management, the potential role of anticonvulsants in specific cases, and indications for specialist referral.

Main Results:

  • Most febrile convulsions are self-limiting; however, prolonged seizures may require medication.
  • Approximately one-third of children may experience recurrent febrile convulsions.
  • Nurses are crucial in patient management, parental education, and myth dispelling.

Conclusions:

  • Febrile convulsion is a generally benign condition with a good prognosis.
  • Effective management involves symptomatic treatment, appropriate referrals, and comprehensive parental education.
  • Nurses are integral to the care of children with febrile convulsion across various clinical settings.

Keywords:
Anticonvulsantsantipyreticschildrenepilepsyfebrile convulsionfebrile illnessfebrile seizuresfever phobiainfantspaediatric nursing

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