NCP for Febrile Convulsions : Assessment and Nursing Diagnosis

NCP for Febrile Convulsions : Assessment and Nursing Diagnosis Welcome to Nursing Diagnosis, this time I will give information about the world, namely the NCP for Febrile Convulsions : Assessment and Nursing Diagnosis. I will present information about the NCP for Febrile Convulsions : Assessment and Nursing Diagnosis
.

NCP for Febrile Convulsions : Assessment and Nursing Diagnosis

Nursing Care Plan for Febrile Convulsions


Definition

Febrile Seizures is an occurrence in infants or children who usually occurs between the ages of 3 months to 5 years was associated with fever but never proven the existence of intra-cranial infection or a particular cause . ( Consesnsus Statement On Febrile Siezures , 1980).



Classification

1. Simple febrile seizures :

• Age 6 months to four years.
• Long seizures are not more than 15 minutes.
• Seizures are common.
• Seizures occurred 16 hours after the onset of fever.
• EEG normal one week after the seizure.
• Neurological examination before and after abnormal spasm.
• Seizure frequency generation in a single year is not more than four times.

2. Complex febrile seizures :

• Seizure time more than 15 minutes.
• Seizure frequency more than once in 24 hours.
• Children have a neurological disorder or a history of febrile seizures before.
• Seizure frequency generation in one year more than four times.

3. Epilepsy provoked by fever.

• Is that not all febrile seizures above criteria.

Originator or Risk Factors :

• High fever caused by upper respiratory tract infection, pneumonia, gastroenteritis and urinary tract infections.
• History of febrile seizures in parents or siblings.
• Developmental delay.
• Problems in the newborn period.
• Children in special care.
• Children with low levels of Na.
• Family history of epilepsy.

Pathophysiology

In a state of fever 1oC temperature rise will lead to increased basal metabolism 10-15 % and oxygen demand increased by 20%, resulting in a change in the balance of cell membranes of neurons and in a short time, diffusion of sodium and potassium ions through the membrane before, with the result of off an electric charge. Remove the charge is so large that it can spread throughout the cell and surrounding cell membrane with the aid of the so-called "neurotransmitters" and there was a seizure.


Differential diagnosis

• Another cause febrile seizures should be removed, especially meningitis and encephalitis.
• Children with high heat can arise delirium, chills and fever, cyanosis so as to resemble seizures.

Prognosis
Dependent factors :

• A history of seizures without fever disease in the family.
• Families with neurological disorders.
• Prolonged seizures or convulsions locally.

If there are two of these three factors will then later on febrile seizures is approximately 13%.



Nursing Care Plan for Febrile Convulsions

Nursing Assessment

1. Client identity

• Age is usually six months to four years, male gender women with a ratio of 2 : 1 , the highest incidence in children aged two years.

2. The main complaint

• Seizures because of the fever.

3. History of present illness

• Time of occurrence of seizures less than five minutes.
• Seizures are general.
• Seizures occurred within 16 hours after the onset of fever.
• No neurological abnormalities both clinical and laboratory.

4. Past medical history

• The presence of predisposing factors of febrile seizures among other head trauma, infection, and reactions to immunization.

5. Family history of disease

• 25-50 % of febrile seizures have a heredity factor families affected by the presence of febrile seizures, neurological diseases or other diseases.

6. Previous history

• History of pregnancy : maternal illness, bleeding, and medications used.
• Labor History : spontaneous birth or by action, antepartum hemorrhage, premature rupture of membranes, Aspixia.

Activity Daily Live

1). Food or liquids

• Patients will complain sensitive to foods that stimulate seizure activity, tooth decay, the presence of gingival hyperplasia , as a result of side effects of drugs.

2). Activity and Rest

• Patients complain of fatigue, general weakness, limitation of activities and changes in muscle tone.

3). Elimination

• Incontinensia
• Ictal face : an increase in pressure and tone springter blader.
• Post- ictal : muscle relaxation.

4). Psycho - social history

• Psycho : anamnesis of the child's temperament, cognitive abilities, and the response of pain conditions as well as hospitalization.
• Social : anamnesis the source of economic status and family, and the family response patterns of daily childcare.

Test and Diagnosis

1). Vital signs

• Decreased awareness
• Ictal phase : Increased pulse, respiration, blood pressure and temperature.
• Post ictal : normal V5 sometimes depression.

2. Physical Examination

• Head : head shape disproportion, generalized seizures, tonic clonic seizures and headaches.
• Eyes : Dilated pupils, eye movements and rapid eyelid, and conjunctival reflexes down red light.
• Mouth : Excessive production of saliva, vomiting and Cyanosis oral mucosa.
• Nose : The existence nostril breathing, Cyanosis.
• Neck : the tetanus occurs stiff neck.
• Chest : Ictal phase : Cyanosis, decreased respiratory movement and the pull intercostae. Post ictal : Apnoe or breath deep and slow.
• Abdomen : Ictal phase : Improved muscle tone blader and spingter. Post ictal : relaxation and hyper peristaltic muscles.
• Extremities : Ictal phase : spasms in upper and lower extremities and cyanosis of the fingers and toes. Post ictal : muscle relaxation and pain and weakness in the muscles.

3. General examination

• Electrolytes : Electrolyte imbalance predispose to seizures.
• Glucose : Hypoglycemia predispose to seizures.
• BUN : Increased BUN is a potential seizure.
• CBC : Aplastic Anemia can occur as a side effect of drug administration.
• LP : to detect the presence of abnormal pressure and signs of infection.
• Skull X - ray : the existence of space and lesions persisted.
• EEG : The focus of seizure activity.
• CT scan : Local cerebral abscess detect tumor lesions with or without contrast.

Nursing Diagnosis for Febrile Convulsions

1. Increased body temperature relation : the presence of pyrogens which disrupt the thermostat, the average increase in metabolism and disease dehydration.
2. Risk for Ineffective airway clearance related to neuromuscular damage and obstruction tracheo - broncial.
3. Knowledge Deficit : family related to misinterpretation and lack of information.
4. Self-concept Disturbance (low self esteem) related to epilepsy and wrong perceptions and uncontrolled.

Thank you for reading our NCP for Febrile Convulsions : Assessment and Nursing Diagnosis article. Hopefully you can benefit from here. And here are a few articles that you may also find:

nursing diagnosis, nursing diagnosis for hypertension, nursing diagnosis for pneumonia, nursing diagnosis for copd, nursing diagnosis for pain, nursing diagnosis for depression, nursing diagnosis for diabetes, nursing diagnosis for anemia, nursing diagnosis handbook, nursing diagnosis for anxiety, nursing diagnosis list, nursing diagnosis anxiety, nursing diagnosis acute pain, nursing diagnosis application to clinical practice, nursing diagnosis and interventions, nursing diagnosis anemia, nursing diagnosis activity intolerance, nursing diagnosis asthma, nursing diagnosis altered mental status, nursing diagnosis and intervention for nephrotic syndrome, nursing diagnosis acute renal failure, nursing diagnosis book, nursing diagnosis book pdf, nursing diagnosis body image, nursing diagnosis bleeding, nursing diagnosis bowel obstruction, nursing diagnosis bipolar, nursing diagnosis by nanda, nursing diagnosis breast cancer, nursing diagnosis back pain, nursing diagnosis bowel incontinence, nursing diagnosis constipation, nursing diagnosis copd, nursing diagnosis cellulitis, nursing diagnosis chf, nursing diagnosis chronic pain, nursing diagnosis chest pain, nursing diagnosis cholecystectomy, nursing diagnosis concept map, nursing diagnosis cva, nursing diagnosis coronary artery disease, nursing diagnosis definition, nursing diagnosis diabetes, nursing diagnosis depression, nursing diagnosis dehydration, nursing diagnosis decreased cardiac output, nursing diagnosis dementia, nursing diagnosis diarrhea, nursing diagnosis dvt, nursing diagnosis deficient knowledge, nursing diagnosis diverticulitis, nursing diagnosis examples, nursing diagnosis electrolyte imbalance, nursing diagnosis edema, nursing diagnosis examples for pain, nursing diagnosis education, nursing diagnosis evaluation, nursing diagnosis epilepsy, nursing diagnosis emphysema, nursing diagnosis esrd, nursing diagnosis etiology, nursing diagnosis for fever, nursing diagnosis for uti, nursing diagnosis gi bleed, nursing diagnosis generator, nursing diagnosis gerd, nursing diagnosis goals, nursing diagnosis grieving, nursing diagnosis gout, nursing diagnosis guidelines, nursing diagnosis glomerulonephritis, nursing diagnosis guillain barre syndrome, nursing diagnosis guidebook, nursing diagnosis handbook pdf, nursing diagnosis hypertension, nursing diagnosis handbook 11th edition, nursing diagnosis handbook 10th edition pdf, nursing diagnosis hypoglycemia, nursing diagnosis head injury, nursing diagnosis hopelessness, nursing diagnosis hypotension, nursing diagnosis hyperglycemia, nursing diagnosis infection, nursing diagnosis impaired gas exchange, nursing diagnosis ineffective coping, nursing diagnosis impaired mobility, nursing diagnosis impaired skin integrity, nursing diagnosis ineffective tissue perfusion, nursing diagnosis immobility, nursing diagnosis impaired comfort, nursing diagnosis insomnia, nursing diagnosis impaired urinary elimination, nursing diagnosis journal, nursing diagnosis jaundice newborn, nursing diagnosis jokes, nursing diagnosis joint pain, nursing diagnosis juvenile diabetes, nursing diagnosis joint replacement, nursing diagnosis jaundice tests, nursing diagnosis juvenile rheumatoid arthritis, nursing diagnosis jehovah witnesses, nursing diagnosis junctional dysrhythmias, nursing diagnosis knowledge deficit, nursing diagnosis kidney failure, nursing diagnosis knowledge deficit related to medication, nursing diagnosis knowledge deficit diabetes, nursing diagnosis knowledge deficit related to diabetes, nursing diagnosis knee replacement, nursing diagnosis kidney transplant, nursing diagnosis knowledge deficit related to pregnancy, nursing diagnosis knee pain, nursing diagnosis knowledge deficit related to smoking, nursing diagnosis list 2015, nursing diagnosis labor and delivery, nursing diagnosis lung cancer, nursing diagnosis list for postpartum hemorrhage, nursing diagnosis low hemoglobin, nursing diagnosis list 2016, nursing diagnosis lupus, nursing diagnosis leukemia, nursing diagnosis loneliness, nursing diagnosis manual, nursing diagnosis malnutrition, nursing diagnosis meningitis, nursing diagnosis meaning, nursing diagnosis mental health, nursing diagnosis metabolic acidosis, nursing diagnosis manual 4th edition, nursing diagnosis mobility, nursing diagnosis mi, nursing diagnosis mrsa, nursing diagnosis nanda, nursing diagnosis nutrition, nursing diagnosis newborn, nursing diagnosis nausea, nursing diagnosis noncompliance, nursing diagnosis nanda 2016, nursing diagnosis nephrotic syndrome, nursing diagnosis nclex questions, nursing diagnosis nutrition imbalance, nursing diagnosis neutropenia, nursing diagnosis of hypertension, nursing diagnosis of pneumonia, nursing diagnosis of fever, nursing diagnosis of diabetes mellitus, nursing diagnosis of anemia, nursing diagnosis of asthma, nursing diagnosis of meningitis, nursing diagnosis of schizophrenia, nursing diagnosis of fracture, nursing diagnosis of appendicitis, nursing diagnosis pain, nursing diagnosis pneumonia, nursing diagnosis pdf, nursing diagnosis postpartum, nursing diagnosis pocket guide, nursing diagnosis powerlessness, nursing diagnosis pressure ulcer, nursing diagnosis pancreatitis, nursing diagnosis post op, nursing diagnosis psychosis, nursing diagnosis quizlet, nursing diagnosis questions, nursing diagnosis questions quizlet, nursing diagnosis quizzes, nursing diagnosis quadriplegic, nursing diagnosis quotes, nursing diagnosis quit smoking, nursing diagnosis quality of life, nursing diagnosis questions and answers, nursing diagnosis qualifiers, nursing diagnosis risk for infection, nursing diagnosis risk for falls, nursing diagnosis related to, nursing diagnosis related to hypertension, nursing diagnosis related to pain, nursing diagnosis related to diabetes, nursing diagnosis related to anemia, nursing diagnosis reference manual, nursing diagnosis risk for, nursing diagnosis risk for injury, nursing diagnosis thrombocytopenia, nursing diagnosis template, nursing diagnosis threatened abortion, nursing diagnosis tachycardia, nursing diagnosis taxonomy, nursing diagnosis tia, nursing diagnosis tissue perfusion, nursing diagnosis teaching, nursing diagnosis types, nursing diagnosis tetralogy of fallot, nursing diagnosis uti, nursing diagnosis urinary incontinence, nursing diagnosis urinary retention, nursing diagnosis upper respiratory infection, nursing diagnosis uk, nursing diagnosis upper gi bleed, nursing diagnosis ulcer, nursing diagnosis unilateral neglect, nursing diagnosis urinary, nursing diagnosis uti sepsis, nursing diagnosis vs medical diagnosis, nursing diagnosis vomiting, nursing diagnosis ventilator, nursing diagnosis vision impairment, nursing diagnosis vomiting nausea, nursing diagnosis vertigo, nursing diagnosis vsd, nursing diagnosis ventricular tachycardia, nursing diagnosis vascular dementia, nursing diagnosis weakness, nursing diagnosis with interventions, nursing diagnosis wound, nursing diagnosis weight loss, nursing diagnosis website, nursing diagnosis wound infection, nursing diagnosis wellness, nursing diagnosis worksheet, nursing diagnosis wording, nursing diagnosis with lactation, nursing diagnosis for xanax, nursing diagnosis for xerosis, nursing diagnosis for xerostomia, nursing diagnosis for x ray, nursing diagnosis for fragile x syndrome, nursing diagnosis for chest x ray, nursing diagnosis yeast infection, nursing diagnosis youtube, nursing diagnosis young mother, nursing diagnosis for young adults, nursing diagnosis for yellow fever, nursing diagnosis for youth, nursing diagnosis for 2 year old, nursing diagnosis for 3 year old, nursing diagnosis for 6 year old, nursing diagnosis for homeless youth, nursing diagnosis for zenker's diverticulum, nursing diagnosis for zyprexa, nursing diagnosis herpes zoster, nursing diagnosis for zofran, nursing diagnosis for zoloft, nursing diagnosis for herpes zoster ophthalmicus, nursing diagnosis for low 02 sat, nursing diagnosis 14th edition, nursing diagnosis 11th edition, nursing diagnosis 10th edition, nursing diagnosis 14th edition pdf, nursing diagnosis 14th edition carpenito, nursing diagnosis 13th edition, nursing diagnosis 13th edition carpenito, nursing diagnosis 12th edition, nursing diagnosis 13, nursing diagnosis 10th, nursing diagnosis 2016, nursing diagnosis 2015, nursing diagnosis 2014, nursing diagnosis 2017, nursing diagnosis 2014 pdf, nursing diagnosis 2013, nursing diagnosis 2012, nursing diagnosis 2 part statement, nursing diagnosis 2010, nursing diagnosis 2 part, nursing diagnosis 3 part example, nursing diagnosis 3 part statement, nursing diagnosis manual 3rd edition, nursing diagnosis for 3rd degree heart block, nursing diagnosis for 3rd degree burn, nursing diagnosis for 3rd stage of labor, nursing diagnosis for 3rd degree av block, nursing diagnosis for 3 month old, nursing diagnosis for stage 3 pressure ulcer, nursing diagnosis 4 hypertension, nursing diagnosis 4e, nursing diagnosis care plan 4e, nursing diagnosis care plan 4th edition, nursing diagnosis for 4 year old, nursing diagnosis for 4th stage of labor, nursing diagnosis stage 4 pressure ulcer, nursing diagnosis for 4th degree laceration, nursing diagnosis for 4 month old, nursing diagnosis 5, nursing diagnosis for 5 year old, nursing diagnosis for 5 month old, nursing diagnosis handbook 5th edition, nursing diagnosis care plans 5th edition, nursing diagnosis reference manual 5th edition, nursing diagnosis for ckd stage 5, 5 nursing diagnosis for copd, 5 nursing diagnosis for anemia, 5 nursing diagnosis for diabetes, nursing diagnosis handbook 6th edition, nursing diagnosis for 6 month old, nursing diagnosis reference manual 6th edition, nursing diagnosis 7th edition, nursing diagnosis handbook 7th edition, nursing diagnosis reference manual 7th edition, ackley nursing diagnosis handbook 7th edition, nursing diagnoses 8th edition, nursing diagnosis handbook 8th edition, nursing diagnosis handbook 8th edition ackley ladwig, ackley nursing diagnosis 8th edition, nursing diagnosis reference manual 8th edition, nursing diagnosis reference manual sparks 8th edition, nursing diagnosis 9th edition, nursing diagnosis handbook 9th edition apa citation, nursing diagnosis handbook 9th edition pdf, nursing diagnosis handbook 9th edition ackley, nursing diagnosis icd-9 codes, nursing diagnosis handbook 9th edition mosby, nursing diagnosis handbook 9th edition ebook, nursing diagnosis handbook 9th edition publisher, nursing diagnosis handbook 9th edition wilkinson, nursing diagnosis handbook 9th edition apa