A 3-year-old toddler with a history of febrile seizures is b… | 마이메르시 MyMerci
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Seizure Disorders

A 3-year-old toddler with a history of febrile seizures is brought to the emergency department by parents who report the child had a generalized tonic-clonic seizure at home that lasted 8 minutes. The child's current vital signs are: temperature 102.8°F (39.3°C), heart rate 130 bpm, respirations 28/min, and oxygen saturation 96% on room air. The child is now alert but appears lethargic and drowsy but responds to verbal stimuli. Parents report this is the longest seizure the child has ever experienced, with previous febrile seizures typically lasting 2-3 minutes and resolving spontaneously. What is the nurse's priority action?

The child appears drowsy but responds to verbal stimuli. Parents report this is the longest seizure the child has ever experienced. The child's previous febrile seizures typically lasted 2-3 minutes and resolved spontaneously.
해설
For a prolonged febrile seizure (8 minutes vs. usual 2-3 minutes), priority is establishing IV access and preparing anticonvulsants to prevent status epilepticus. Fever reduction and history are important but secondary.
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