What are febrile convulsions (PDF) by hjkuiw354


									             Information for parents

                 Febrile Convulsions
What are febrile convulsions?
Febrile convulsions are types of fits or seizures. They happen when
the child’s temperature rises quickly, usually as a result of an
infection. They are frightening for parents, but are harmless to your
child unless they last a long time (seek medical advice after 5
minutes). They are common in children under 5 years.
They do not affect your child’s development and it is rare for a child
to develop epilepsy following a febrile convulsion.
About 3% of children will have at least one febrile convulsion. 1/3
of children who have had one febrile convulsion will have another.

Can the febrile convulsions be prevented?
Febrile convulsions can usually be prevented by stopping the
temperature from getting too high.
 A mild temperature is 37.3 –38 degrees centigrade. A high
temperature is 38 degrees centigrade and above.
 Febrile convulsions may occur despite all preventative measures.
The following can help to bring down a temperature:

      •   medicines such as paracetamol (Calpol/ Disprol) and
          Ibruprofen (Junifen/ Neurofen);
      •   reducing your child’s clothing down to a vest and pants, or
          just a nappy;
      •   frequent cool drinks;
      •   an electric fan can be used to cool the air, but should not
          be directed straight onto your child;
      •   a cool bath or tepid sponging brings the outer temperature
          down quickly, but can increase the inner temperature, so is
          not recommended.

What should I do if my child has a febrile convulsion again?
    • Lie your child on their side, this helps any moisture drain
       out of their mouth;
    • Make sure your child does not hurt themselves during the
    • Do not attempt to put anything between your child’s teeth,
       or in the mouth;
    • Expect your child to look very pale or temporally blue
       round their lips, during the convulsion; and
        Call your Doctor or an ambulance if the convulsion
   lasts more than 5 minutes;
      • Do not bring your child to hospital while they are having a
         convulsion, call 999 for an ambulance.

What will happen if my child has to be admitted to
The nurses and doctors will carefully monitor your child’s condition.
The nurses will make regular observations of your child’s
temperature, pulse and breathing. The doctor will prescribe
medicines such as paracetamol if your child has a temperature.
 The doctors will try and find the infection that has caused the
febrile convulsion. A urine sample, and blood tests may be needed.
If your child has an infection caused by a bacteria the doctor will
prescribe antibiotics.

What can you do to help?

            •   Stay with your child as much as possible;
            •   Tell your nurse if your child feels hot;
            •   Offer small, frequent, cool, fluids. Talk with your
                nurse about filling in a fluid record together;
            •   Don’t worry if your child is not eating very much,
                fluids are more important when your child has a
            •   Dress your child in light clothing. Bring some socks
                or slippers from home to keep your child’s feet

If you need further advice please ring Starlight children’s ward.

   Team one: 291 5458/5459
   Team two: 291 2248/2669
   Paediatric A&E 291 6061

   Written by Debbie Winstanley and Helen Fisher
   Editorial number 0015/03

   Written: Nov 2005
   Reviewed: July 2006
   Review Date Due: July 2008

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