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5BenignFebrileConvulsionsNursingCarePlansNurseslabs
Thefirstfebrileseizureisoneoflifesmostfrighteningmomentsforparents.Mostparents
areafraidthattheirchildwilldieorhavebraindamage.Thankfully,simplefebrileseizures
areharmless.Thereisnoevidencethatsimplefebrileseizurescausedeath,braindamage,
mentalretardation,adecreaseinIQ,orlearningdifficulties.(www.nlm.com)However,a
verysmallpercentageofchildrengoontodevelopotherseizuredisorderssuchasepilepsy
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laterinlife.
Definition
Afebrileseizureisaconvulsioninachildtriggeredbyafever.Suchconvulsionsoccur
withoutanyunderlyingbrainorspinalcordinfectionorotherneurologicalcause.According
tostudies,about35%ofotherwisehealthychildrenbetweentheagesof9monthsand5
yearswillhaveaseizurecausedbyafever.Toddlersaremostcommonlyaffected.Most
occurwellwithinthefirst24hoursofanillness,notnecessarilywhenthefeverishighest.
Contents[show]
Hyperthermia
BenignFebrileConvulsionisaconvulsiontriggeredbyariseinbodytemperature.Feveris
notanillnessandisanimportantpartofthebodysdefenseagainstinfection.Antigensor
microorganismscauseinflammationandthereleaseofpyrogenswhichisasubstancethat
inducesfever.
Assessment
Subjective:Objective:
Planning
Nursing
Interventions
Rationale
Expected
Outcome
Short
Short
term:After4
term:The
hoursof
patients
nursing
temperature
interventions,
shallhave
thepatients
decreased
temperature
from39Cto
warmtotouch
willdecrease
normalrange
Convulsion
from39Cto
of36.5Cto
RR=34bpm
normalrange
37C.
thepatientmanifested:
febriletemp=
39C
flushedskinand
of36.5Cto
thepatientmay
37C.
LongTerm:
LongTerm:
Thepatient
manifest:
highfever
weakness
shallhave
After2days
beenableto
ofnursing
befreeof
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interventions,
1.Assess
1.Toobtain
complications
thepatient
underlying
baselinedate.
andmaintain
willbeable
condition
2.Tonotefor
core
tobefreeof
andbody
progressand
temperature
complications
temperature.
evaluate
within
andmaintain
2.Monitor
effectsof
normal
core
andrecorded
hyperthermia.
range.
temperature
vitalsigns.
3.To
withinnormal
3.Remove
decreaseor
range.
unnecessary
totally
clothingthat
diminishpain.
couldonly
4.Reduces
aggravate
metabolic
heat.
demandsor
4.Promote
oxygen.
adequate
5.Topromote
restperiods.
surface
5.Provide
cooling.
TSB
6.Tohelp
6.Adviseto
decreasebody
increasefluid
temperature.
intake.
7.Toprovide
7.Loosen
proper
clothing.
ventilation
8.
andpromote
Administer
releaseof
IVfluidsat
heatthrough
prescribed
evaporation.
rate.Monitor
8.Topromote
regulation
fluid
rate
management.
frequently.
9.
9.
Antipyretics
Administer
lowercore
antipyretics
temperature.
asordered.
Imbalanced Nutrition
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Thenutritionalrequirementsofthehumanbodyreflectthenutritionalintakenecessaryto
maintainoptimalbodyfunctionandtomeetthebodysdailyenergyneeds.Malnutrition
(literally,badnutrition)isdefinedasinadequatenutrition,andwhilemostpeople
interpretthisasundernutrition,fallingshortofdailynutritionalrequirements.Theetiology
ofmalnutritionincludesfactorssuchaspoorfoodavailabilityandpreparation,recurrent
infections,andlackofnutritionaleducation.
NDx:ImbalancedNutrition:Lessthanthebodyrequirementrelatedtoeconomicalfactors.
Assessment
Subjective:Objective:
Planning
Short
term:After4
thepatientmanifested:
hoursof
nursing
bodyweakness
interventions,
weightof7.9kg
thepatients
lossofappetite
willidentify
poormuscletone
measuresto
promote
thepatientmay
nutritionand
manifest:
followthe
treatment
abnormallaboratory
regimen
studies
pallor
LongTerm:
After2days
ofnursing
interventions,
thewill
demonstrate
behavioursor
lifestyle
changesto
regain
Nursing
Interventions
Rationale
1.Review
1.Toobtain
patients
baselinedata.
records.
2.To
2.Assess
determine
underlying
specific
condition.
interventions.
3.Discuss
3.Toachieve
eatinghabits
healthneeds
andencourage
ofthepatient
dietforage.
withthe
4.Notetotal
properfood
dailyintake
dietforhis
includes
disease.
patternsand
4.Toreveal
timeofeating.
changethat
5.Consult
shouldbe
physicianfor
madeinthe
further
clients
assessmentand
dietaryintake.
recommendation
5.Forgreater
regardingfood
understanding
preferencesand
andfurther
nutritional
assessmentof
support.
specificfood.
Expected
Outcome
Short
term:The
patientshal
have
identified
measuresto
promote
nutritionan
followthe
treatment
regimen.
LongTerm
Thepatient
shallhave
demonstrate
behaviourso
lifestyle
changesto
regain
appropriate
weight.
appropriate
weight.
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Assessment
Subjective:Objective:
Planning
Short
term:After4
Thepatientmanifested:
hoursof
nursing
Bodytemperature
changes.
Skindiscoloration
intervention,
thepatient
will
demonstrate
Thepatientmay
behaviour
manifest:
lifestyle
changesto
Anemia
improve
circulation.
Longterm:
After2days
ofnursing
intervention,
thepatients
S.O.will
verbalize
understanding
ofthe
condition.
Nursing
Interventions
1.Establish
rapport.
2.Monitor
VS.
3.Determine
factors
relatedto
individual
situation.
4.Evaluate
forsignsof
infection
especially
when
immune
systemis
compromised.
5.Discuss
Rationale
Expected
Outcome
Short
term:The
patientshall
have
demonstrated
behaviour
lifestyle
change.
Longterm:
Thepatients
S.O.shall
have
verbalized
understanding
ofthe
condition.
individualrisk
factors.
6.Elevate
headofbed
atnight.
7.Discussthe
importanceof
ahealthy
diet..
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1.Togain
patientand
S.O.strust
and
promote
cooperation.
2.To
monitor
patients
status.
3.Togain
information
regarding
the
condition.
4.To
observefor
possiblerisk
factors.
5.This
information
wouldbe
necessary
forthe
clientsS.O.
6.To
increase
gravitational
bloodflow.
7.To
promotea
healthydiet
tohelp
increase
RBC
synthesis
andHgb
countfor
faster
recovery.
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Assessment
S=O
Planning
Nursing
Interventions
Rationale
Expected
Outcome
Short
Short
Term:After3
Term:After3
thepatient
hoursof
hoursof
manifested:
nursing
nursing
interventions,
interventions,
thepatientwill
thepatient
verbalize
shallhave
fatigue
understanding
verbalized
poor
ofwaysonhow
understanding
toprevent
ofwaysonhow
spreadof
toprevent
infection.
spreadof
body
weakness
muscletone
Thepatient
maymanifest:
infection.
LongTerm:
elevated
LongTerm:
body
After1weekof
temperature
nursing
After1weekof
Hgb=112
interventions,
nursing
WBC=
thepatientwill
interventions,
befreefrom
thepatient
infectionsand
shallhavebeen
further
freefrom
complications
infectionsand
22.9
RBC=
3.97
HCT=
0.34
Platelet
further
complications.
count=234
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1.Establish
1.Togain
goodworking
theirtrust
relationship
and
withthe
cooperation
clientand
2.For
S.O.
comparative
2.Monitor
baselinedata
andrecord
3.Toknow
vitalsigns
whento
3.Determine
assistclient
pts
4.To
individual
promote
strength
optimum
4.Provide
levelof
peaceful
functioning
environment
5.To
5.Provide
prevent
adequaterest
fatigueand
andsleep.
conserve
6.Emphasize
energy
importanceof
6..to
handwashing
prevent
7.Provide
occurrenceof
safety
further
measures
infections
8.MonitorI
7.To
&O
preventfalls
9.CheckIV
andinjuries
andRegulate
8.Tonote
IVF
for
10.Advicept
imbalances
toincrease
9.Toensure
oralfluid
proper
intakewhen
hydration
allowed
10.To
replacefluid
electrolyte
loss
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Assessment
Planning
NursingInterventions
Rationale
Short
term:After4
hoursof
Short
nursing
term:
interventions,
shallh
theSOwill
modifie
modify
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Subjective:Objective:
thepatientmaymanifest
thefollowing:
Fever
Convulsion
Low
LowHgbLevel=
112
environment
1.Establishrapport
1.Togain
environ
asindicated
2.Monitorandrecord
patients
asindi
toenhance
VitalSigns
trust
toenha
safety.
3.Ascertain
2.Toobtain
safety.
knowledgeofsafety
baselinedata
needs/injury
3.toprevent
prevention
injuriesin
After2days
4.Noteclients
home,
TheSO
ofnursing
gender,age,
community,
have
interventions,
developmentalstage,
andwork
verbali
theSOwill
decisionmaking
setting
unders
verbalize
ability,levelof
4.affects
ofindiv
understanding
cognition/competence
clientsability
factors
ofindividual
5.Providehealthcare
toprotect
contrib
factorsthat
withinacultureof
self/others
possibi
contributeto
safety
andinfluence
injury.
possibilityof
6.Identify
choiceof
injury.
interventions/safety
interventions/
devices
teachings
7.Discuss
5.toprevent
importanceofself
errors
monitoringof
resultingin
conditions/emotions
clientinjury,
Longterm:
Longt
promote
clientsafety
andmodel
safety
behaviorsfor
client/SO
6.topromote
safephysical
environment
and
individual
safety
7.itcan
contributeto
occurrenceof
injury
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