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  • Febrile Seizure

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    This case presentation discusses a 3-year-old male patient admitted to the hospital with a chief complaint of cold, cough, fever and seizure activity. The patient was diagnosed with simple febrile seizure associated with an acute respiratory tract infection based on his symptoms and laboratory results showing elevated white blood cell count. He was treated medically with midazolam, clobazom, dextrose saline and paracetamol. Pharmacist intervention was suggested to replace chlorpheniramine due to potential drug interactions and recommend an antibiotic like amoxicillin. The patient was counselled on disease information, medication use and lifestyle modifications.

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    febrile seizure

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    This case presentation discusses a 3-year-old male patient admitted to the hospital with a chief complaint of cold, cough, fever and seizure activity. The patient was diagnosed with simple febrile seizure associated with an acute respiratory tract infection based on his symptoms and laboratory results showing elevated white blood cell count. He was treated medically with midazolam, clobazom, dextrose saline and paracetamol. Pharmacist intervention was suggested to replace chlorpheniramine due to potential drug interactions and recommend an antibiotic like amoxicillin. The patient was counselled on disease information, medication use and lifestyle modifications.

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    7 views14 pages

    Febrile Seizure

    Uploaded by

    dk.clinicalresearch
    This case presentation discusses a 3-year-old male patient admitted to the hospital with a chief complaint of cold, cough, fever and seizure activity. The patient was diagnosed with simple febrile seizure associated with an acute respiratory tract infection based on his symptoms and laboratory results showing elevated white blood cell count. He was treated medically with midazolam, clobazom, dextrose saline and paracetamol. Pharmacist intervention was suggested to replace chlorpheniramine due to potential drug interactions and recommend an antibiotic like amoxicillin. The patient was counselled on disease information, medication use and lifestyle modifications.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 14

    SRI VENKATESWARA COLLEGE OF PHARMACY

    DEPARTMENT OF PHARMACY PRACTICE

    A CASE PRESENTATION
    ON
    “SIMPLE FEBRILE SEIZURE”

    SUBMITTED BY
    B Dwarakesh,
    17GT100002,
    PHARM D 6TH YEAR,
    SRI VENKATESWARA COLLEGE OF PHARMACY.

    1
    DEFINITION:
    A febrile seizure is a convulsion
    in a child that's caused by a
    fever. The fever is often from an
    infection. Febrile seizures occur
    in young, healthy children who
    have normal development and
    haven't had any neurological
    symptoms before.

    2
    PATIENT DETAILS:
    • A 3years Old male patient was admitted in Government Hospital, Chittoor with
    I.P No: 2022007122

    CHIEF COMPLAINTS:
    • Cold and cough
    • Fever
    • Seizure activity on today at 4.50 pm
    • Vomiting (1episode)-Post seizure activity

    HISTORY OF PRESENT ILLNESS:


    The patient has been suffering from the above mentioned complaint for the past
    1 day 3
    PAST MEDICAL HISTORY: FAMILY CHART:
    K/C/O Seizure * 1½ Year ago

    PAST MEDICATION HISTORY


    Not Significant

    PERSONAL HISTORY:
    • Sleep and appetite - Normal
    • Bowel and Bladder – Normal

    FAMILY HISTORY:
    Not Significant

    DEVELOPMENTAL HISTORY:
    All milestones attained as per age

    IMMUNIZATION HISTORY:
    Immunized as per NIS 4
    GENERAL EXAMINATION:
    The patient was Conscious, coherent, oriented
    PHYSICAL EXAMINATION:
    • Pallor- No
    • Icterus- no
    • Cyanosis- no
    • Clubbing- no
    • Lymphadenopathy- no
    • Odema- No

    5
    VITALS:
    DAY D1 D2 D3 D4 D5 D6

    B.P.
    90/60 90/70 100/80 90/60 90/60 90/60
    (mm of Hg)
    TEMP.
    100 99.4 99.1 98.4 98.2 98.6
    (°F)
    P.R.
    112 116 92 96 95 92
    (bpm)
    R.R.
    36 35 29 27 22 22
    (bpm)
    SPo2
    98 98 99 98 98 98
    (%)

    6
    SYSTEMIC EXAMINATION:
    • CVS-S1,S2 ⊕ , No Murmurs
    • CNS- Tone Normal in all 4 limbs -NFND
    • RS- NVBS
    • P/A- Soft , No Tenderness.

    PROVISIONAL DIAGNOSIS:
    ? Simple febrile seizure with ARI

    7
    LABORATORY INVESTIGATION:

    TEST TEST VALUE NORMAL VALUE


    Haemoglobin (gm/dl) 11.6 11.5-13.0 gm/dl
    WBC (cu mm) 18060 5500-15500
    RBC 4.26 3.9-5 million cells/cumm
    PLT 1.81 1.5L-4.5L

    FINAL DIAGNOSIS:
    Based on subjective and objective findings the patient was diagnosed with

    “Simple febrile seizure with ARTI”

    8
    GENERIC BRAND INDICATION FREQUENCY ROA DOSE D1-D6
    NAME NAME

    MIDAZOLAM SEIZALAM ANTI-EPILEPTIC BD IV 1cc


    CLOBAZOM ONFI ANTI-EPILEPTIC BD IV 5mg 

    Dextrose Normal Saline ELECTROLYTE BD IV 45ml/hr 


    REPLENISHER

    PARACETAMOL TYLENOL ANTI-PYRETIC SOS PO 5ml 

    CHLORPHENIRAMINE TUSSIN ANTI-HISTAMINE TID PO 2ml 

    O2 Inhalation O2 SUPPLEMENT BD INL 

    Discharge Advice: WITH THE SAME MEDICATION IN CHART FOR 5 DAYS AND TO REVIEW IN OP 30DAYS

    9
    SOAP ANALYSIS:
    SUBJECTIVE FINDINGS:
    • Cold and cough
    • Fever
    • Seizure activity on today at 4.50 pm
    • Vomiting (1episode)-Post seizure activity
    • K/C/O Seizure * 1½ Year ago

    OBJECTIVE FINDINGS:

    • TEMP-100F , WBC- 18060

    • ASSESSMENT: Simple febrile seizure with ARTI

    • PLAN: Medical Management


    PRESCRIPTION ANALYSIS:

     Needing pharmacotherapy and not receiving It- YES

    Eg: WBC count seems to be high , indicating an infection

     Taking or receiving the wrong drug-NO

     Experiencing an adverse drug reaction and side effect –NO

     Experiencing a drug-drug or drug-food interaction- YES

    Eg. Chlorpheniramine +Midazolam = Increases Sedation , Use Caution/ Monitor

    Eg. Chlorpheniramine + Clobazom = Increases Sedation , Use Caution/ Monitor

     Taking or receiving a drug for no valid indication-NO 11


    PHARMACIST INTERVENTION:
     Chlorpheniramine should be replaced by corticosteroid like

    Montelukast as it is causing a interaction in patient

    The patient should be recommended with antibiotics like


    Amoxclav
    PATIENT COUNSELLING:
    Disease Information:
    This is a Condition where the seizure occurs as a result of
    fever
    Drug Information:
    • Midazolam was given to overcome convulsion
    • Paracetamol was given to treat fever
    • Don’t skip medication , Follow as per prescription
    Life Style Modification:
    • Advised to maintain 7-8 hours sleep pattern.
    •
    13
    14

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