CLINICAL MEDICINE

MEDICINE

NEUROLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
2-year-old child Chills V/S BT=38.1 C, PR=60 beats/min, while blood pressure was measured. Children with spasticity, drooling, what is the first nursing care?
A
Have them lie down and suck the phlegm.
B
arrange to lie still and provide oxygen
C
Watch for seizures. and doctor report
D
Have them lie down on their side and watch for seizures.
Explanation: 

Detailed explanation-1: -For pre-hospital treatment, midazolam is the preferred first-line medication for treatment of seizures in children without IV access-. In hospital: Either lorazepam (IV route) or midazolam (IV or IM route) are equally appropriate first-line options, with similar efficacy.

Detailed explanation-2: -Home treatment usually involves giving one dose of diazepam gel (Diastat®) into the rectum, or nasal spray treatment with intranasal midazolam (Nayzilam®) or intranasal diazepam (Valtoco®), if a child’s seizure lasts more than three to five minutes. (See “Management of convulsive status epilepticus in children".)

Detailed explanation-3: -A fever causes a febrile seizure in your child. These types of seizures are age-specific, happening in infants as young as 6 months and children up to 5 years old. Febrile seizures most commonly occur between 12 and 18 months of age.

Detailed explanation-4: -loss of consciousness (black out) twitching or jerking of arms and legs. breathing difficulty. foaming at the mouth. going pale or bluish in skin colour. eye rolling, so only the whites of their eyes are visible. your child may take 10 to 15 minutes to wake up properly afterwards.

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