Pediatric febrile convulsions management process

  Most common childhood febrile convulsions occur in children aged 2 to 5 years, and they mostly occur in the early stages of fever (usually within 12 hours, not more than 24 hours) and when the body temperature rises sharply. Before and after the occurrence of convulsions, the child is in good general condition and recovers consciousness soon after the seizure, without other neuropsychiatric symptoms.  1, general treatment (1) keep the respiratory tract unobstructed, timely removal of nasopharyngeal secretions. The child’s head should be turned to the side to prevent accidental attraction of asphyxia to prevent tongue bite and joint injury.  (2) Routinely administer oxygen to reduce hypoxic brain injury.  (3) Keep quiet and prohibit all unnecessary stimulation. Intravenous fluid supplementation.  (4) Physical cooling.  Prescription I Diazepam (Valium) injection 0.3-0.5mg/kg iv, repeat after 15min if necessary (also can keep enema, preferably without inotropic injection) Prescription II Phenobarbital sodium (Luminal) injection 5-10mg/kg im st or 10mg/kg iv repeat once after 20-30min if necessary.  Prescription III 10% chloral hydrate 0.5ml/kg reserved enema