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Medications

No literature was found to answer this question. However, the Clinical Practice Guideline published by the AAP (Patricia K Duffner et al., 2008) states that a simple febrile seizure does not usually require further evaluation, other than finding the source of the fever and treating the cause of the fever appropriately. 

Should the child be treated with medications for seizure?


The Simple Febrile Seizure CPG team concurs with the statement made in AAP Guideline (Duffner et al. 2008) that simple febrile seizures are benign events, and not associated with neurological consequences. Therefore, seizure medications are not recommended for the child who presents after a simple febrile seizure. 

Should the child be sent home with medications for seizure recurrence?


The Simple Febrile Seizure CPG team concurs with the statement made in AAP Guideline (Duffner et al. 2008) that simple febrile seizures are benign events, and not associated with neurological consequences. Seizure medications are not recommended at the time of discharge for community use as abortive therapy for potential recurrence of a simple febrile seizure.

 

These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.