Convulsions in Infants and Children

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Questions and Answers

What is a common trigger for febrile convulsions in infants and young children?

  • Chronic epilepsy
  • Exposure to infectious agents
  • Sudden rise in temperature (correct)
  • Brain trauma

Which of the following should NOT be included in the assessment of a child experiencing convulsions?

  • Duration of seizure
  • Past medical history
  • Recent travel history (correct)
  • Number of seizure episodes today

What is the recommended oxygen flow rate for a child who is actively convulsing?

  • 20L/min
  • 10L/min
  • 15L/min (correct)
  • 5L/min

Which condition indicates that a child may require hospitalization?

<p>First seizure event (B)</p> Signup and view all the answers

In the context of convulsions, which statement best describes the role of drug therapy?

<p>Drug therapy decisions should follow an individualized care plan. (B)</p> Signup and view all the answers

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Study Notes

Convulsions in Infants and Children

  • Convulsions are common in infants and children
  • Febrile seizures are caused by a sudden rise in temperature, typically between 6 months and 5 years old.
  • Brain insults can also cause seizures.
  • Epilepsy is a chronic condition characterized by recurrent seizures.
  • Convulsive status epilepticus is a medical emergency where seizures continue without stopping.
  • Assessment includes airway, breathing, circulation (ABC), duration of seizure, seizure presentation, number of episodes, history of epilepsy, brain trauma, past and current medical history, and medications administered.
  • Management during a seizure includes managing the airway, potentially using an oropharyngeal or nasopharyngeal airway to maintain patency.
  • Oxygen at 15L/min is indicated during the seizure and can be adjusted in the postictal phase (after the seizure).
  • Drug therapy may be necessary, and should be prescribed by a senior clinician.
  • Follow the individualised care plan and convulsion flowchart.
  • Hospital admission is recommended in cases of:
    • Time-critical ABC issues
    • Convulsion status epilepticus
    • First seizure
    • Continued seizures after the first anticonvulsant

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