Clinical Practice Guidelines - Simple Febrile Seizure Flashcards Preview

Nelson's Pediatrics > Clinical Practice Guidelines - Simple Febrile Seizure > Flashcards

Flashcards in Clinical Practice Guidelines - Simple Febrile Seizure Deck (17):
1

Criteria for Simple Febrile Seizure

3 mos. - 6 yrs.
axillary T ≥ 37.8° C
GTC
< 15 min.
does not recur within the same febrile illness

2

Criteria for Complex Febrile Seizure

focal
> 15 min.
recurrent

3

A lumbar tap should be done for children _____.

< 18 mos.
≥ 18 mos. with signs of meningitis

4

Simple Febrile Seizure:
Age

3 mos. - 6 yrs.

5

_____ is the gold standard for the diagnosis of meningitis.

Lumbar Tap

6

Major Signs of Meningitis

nuchal rigidity
coma
petechiae

7

Minor Signs of Meningitis

drowsiness
paresis
paralysis

8

History Features of Meningitis

fever ≥ 3 days
vomiting
drowsiness
physician visit in the past 48 hours

9

_____ studies should not be routinely performed in children for a first febrile seizure.

Neuroimaging, EEG

10

_____ should not be relied upon to prevent the recurrence of febrile seizures.

Antipyretics

11

Ibuprofen Dose

5 mkdose q6

*greater fever reduction

12

Acetaminophen Dose

10 mkdose q6

13

_____ drugs are not recommended in children after a first febrile seizure.

Antiepileptic

14

Children who had BFS at < 12 mos. have a _____ probability of having recurrent febrile seizure.

50%

15

Children who had BFS at > 12 mos. have a _____ probability of having recurrent febrile seizure.

30%

16

Children with BFS have a greater risk of developing epilepsy at _____.

7 y.o.

17

In children with BFS, generalized afebrile seizure may develop by age _____.

25 y.o.