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Assignment NR 602 Soap Note -Febrile Seizures

Assignment: NR 602 Soap Note -Febrile Seizures

Febrile seizures are the most common type of seizures in children. They are brief, generalized, clonic or tonic-clonic in nature, and can be either simple or complex. A concurrent illness is present with rapid fever rise to at least more than 102.2° F (39° C), but the fever is not necessarily that high at the time of the seizure. It is conjectured that these seizures may be related to peak temperature reached during the febrile episode. Minimal postictal confusion is associated with febrile seizures. Simple febrile seizures last less than 15 minutes and may recur during the same febrile illness period. Complex febrile seizures last longer than 15 minutes, can recur on the same day, and can have focal attributes (even during the postictal phase). Febrile SE is uncommon, rarely stops spontaneously, is fairly resistant to medications, and can persist for a long period of time. Most children in febrile SE require one or more medications to end the seizure. A report found that reducing the time from seizure onset to anticonvulsant medication administration was key to reducing the seizure duration during an episode (Seinfeld et al, 2014).

The etiology of febrile seizures is unclear and by definition excludes seizures that are caused by intracranial illness or are related to an underlying CNS problem. The risk is higher in children with a family medical history for febrile seizures or in those with predisposing factors (e.g., neonatal intensive care unit [NICU] stay more than 30 days, developmental delay, day care attendance).

The age range associated with febrile seizures is 6 months to 60 months. Male gender is a minor risk factor as is a lower sodium level. Approximately 2% to 5% of neurologically healthy infants and young children experience at least one simple febrile seizure with about 30% of this group experiencing a second episode (Mikati, 2011).

NR 602 Soap Note -Febrile Seizures

Clinical Findings

Include the following:

  • Description of seizure duration,…

Physical Examination.

The physical examination is the same as that described earlier for seizures.

Diagnostic Studies.

Diagnostic studies include the following:

NR 602 Soap Note -Febrile Seizures

Differential Diagnosis

Consider sepsis, meningitis, metabolic or toxic encephalopathies, hypoglycemia, anoxia, trauma, tumor, and hemorrhage. Febrile delirium and febrile shivering can be confused with seizures. Breath-holding spells can mimic febrile seizures; however, the former are always related to crying or tantrums. Febrile seizures come at unpredictable times during sleep, eating, play, or other generally calm times and are related to the onset of an illness. Epileptic seizures occur without concurrent illness and at unpredictable times.

  • Protect the airway, breathing, and circulation …

NR 602 Soap Note -Febrile Seizures

Assignment NR 602 Soap Note -Febrile Seizures

Assignment NR 602 Soap Note -Febrile Seizures

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Prophylaxis for Recurrent Febrile Seizures

Prolonged anticonvulsant prophylaxis is not recommended. In the rare instance that prophylaxis is indicated, …


The family should receive information about febrile seizures, their risks, and their management. Education should include information explaining the febrile seizure, reassurance that no long-term consequences are associated with febrile seizures, information that febrile seizures recur in some children and that nothing can be done to prevent the seizures, and first-aid information in case another seizure occurs at some time. The decision to use prophylaxis is up to the parents and the PCP on a case-by-case basis. A follow-up phone call after the event is useful.


Death or persisting motor deficits do not occur in patients with febrile seizures. No indication has been found that intellect or learning is impaired. An affected child has an increased risk for the development of epilepsy (less than 5%) if the seizure is prolonged and focal; if the child has repeated seizures with the same febrile episode; or if the child has had a prior neurologic deficit, a family history of epilepsy, or both. Two thirds of children who have had one simple febrile seizure will have no more. The younger the age at onset (younger than 18 months old) of the first febrile seizure, the lower the temperature threshold that is needed to cause the child to seize and the more likely the child is to have a recurrence.

Important information for writing discussion questions and participation

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

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