Assessment - Nursing Care Plan for Febrile Seizures
Nursing Care Plan for Febrile Seizures According to Doengoes (1999: 259-261 and 871-872) includes: History of causative factors: Idiopathic no cause is known. Post-trauma, head injury, inflammation of the lining of the brain, high fever. History of seizures Since what age? How long seizures occur? How many times a seizure occurs within 1 hour? When was the last seizures experienced? Physical examination, by inspection, palpation, percussion and auscultation. a. Activity / rest. Symptoms: Fatigue, general weakness. Limitations in activities / work caused by self-/ significant other / nursing care giver or others. Signs: Change of tone / muscle strength. Involuntary movements / muscle contraction. b. Circulation Symptoms: Ictal: hypertension, increased pulse and cyanosis. Post-ictal: normal vital signs or depression with decreased pulse and respiration. Signs: Heart sound: disratmia and development can lead to myocardial dysfunction, effects of acidosis / electrolyte imbalance. The skin ...