Treatment of febrile seizure: Routine treatment: Search for the - TopicsExpress

Treatment of febrile seizure: Routine treatment: Search for the cause of fever and control it (avoid excessive clothing, encourage fluids, tepid sponge bath, and antipyretics). Prophylactic anticonvulsants are not indicated for typical febrile convulsion. Recurrence Prevention Phenobarbital: ineffective and may decrease cognitive function Phenytoin: ineffective Carbamazepine: ineffective Antipyretic agents: ineffective Valpronic acid: effective, but with potential risk of fatal hepatotoxicity, thrombocytopenia, GI disturbances, and pancreatitis. Diazepam: effective and safe (Oral or rectal form): For patients with frequent febrile convulsion or significant parental anxiety. Dose: 0.3 mg/kg q8h PO (1 mg/kg/d) for the duration of the illness (2~3 days). Side effects: lethargy, irritable, ataxia.

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