Pediatric Emergency Module

Febrile Seizure & Dehydration Management

20-25 minutes
Intermediate Level
5 Questions

Case Presentation

Patient Information

Age: 18 months

Gender: female

Weight: 11 kg

Chief Complaint: Seizure activity witnessed by parents

Vital Signs

BP: 86/52 mmHg

HR: 156 bpm

RR: 32/min

Temp: 39.8°C (103.6°F)

SpO2: 96% on room air

Glucose: 82 mg/dL

Physical Examination

General: Lethargic but arousable toddler, flushed appearance

HEENT: Dry mucous membranes, no tears when crying, sunken eyes

Cardiovascular: Tachycardic, capillary refill 3 seconds

Respiratory: Clear bilateral breath sounds, mild tachypnea

Skin: Flushed, warm, dry, tenting present

Dehydration Signs Present

Dry mucous membranes
No tears when crying
Sunken eyes
Delayed cap refill
Decreased urine output
Skin tenting

Question 1 of 5

10 points

Based on the clinical presentation, what is the most likely diagnosis?

Quick Calculations (11 kg)

Fluid Bolus:220 mL (20 mL/kg)
Acetaminophen:165 mg (15 mg/kg)
Ibuprofen:110 mg (10 mg/kg)
Midazolam IM:2.2 mg (0.2 mg/kg)

Pediatric Vital Signs

Newborn

HR: 120-160RR: 30-60SBP: 60-90

1-12 months

HR: 100-160RR: 25-40SBP: 70-100

1-3 years

HR: 90-150RR: 20-30SBP: 80-110

Critical Actions

Oxygen if needed

Apply O2 if SpO2 <94% or respiratory distress

IV/IO access

Establish vascular access for fluid resuscitation

NS/LR bolus 220 mL

20 mL/kg isotonic fluid bolus over 20 minutes

Acetaminophen 165 mg

15 mg/kg PR or PO for fever reduction

Glucose check

Verify blood glucose level