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Treatment:
-During attacks of convulsions: First aid measurements :
Head position, O 2.
Rectal diazepam 0.3-0.5 mg/kg ( 1mg/min ) maximum 10 mg
Tape water fomentation , tepid sponge bath , antipyretics
-Antibiotics and treatment of the cause
Prophylaxis for febrile convulsion: Intermittent diazepam prophylaxis using
diazepam syrup at the start of febrile illness 0.3 mg/kg q8h PO (1 mg/kg/d) for
the duration of the illness (2~3 days)
N.B. prolonged anticonvulsant prophylaxis is not recommended
Risk factors for developing epilepsy in child with febrile convulsion:
-Atypical features of the seizure
-Positive family history of epilepsy,
-An initial febrile seizure before 9 mo of age
-Delayed developmental milestones, or a pre-existing neurologic disorder
