Febrile Seizures Treatment & Management

Updated: Sep 19, 2017
  • Author: Nooruddin R Tejani, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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Treatment

Prehospital Care

See the list below:

  • Patients with active seizures should be treated with airway management, high-flow oxygen, supportive care, and anticonvulsants as necessary. Acute treatment such as rectal diazepam (0.5 mg/kg) and buccal 0.4-0.5 mg/kg) or intranasal (0.2 mg/kg) are effective and can be given at home for a seizure lasting longer than 5 minutes. [42, 43, 44]
  • Patients who are postictal should receive supportive care and antipyretics as appropriate.
Next:

Emergency Department Care

See the list below:

  • Patients presenting with status epilepticus should be treated with airway management and anticonvulsants as necessary.
  • Patients presenting with history and physical examination findings consistent with a simple febrile seizure should have frequent neurologic examinations to monitor mental status.
  • Other causes of seizure should be ruled out.
  • The cause of the febrile illness should be sought and treated.
  • Antipyretics should be considered. Acetaminophen (Tylenol) and ibuprofen (Motrin) are often used.
  • Parental anxiety and fear that their child may die or will develop brain damage needs to be addressed with reassurance and education.
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