A 12-month-old child with severe developmental delays was recently treated in an emergency department for a febrile seizure and is seen by the primary care NP for a follow-up visit
The child's parent asks if it is necessary to continue giving the child phenobarbital. The NP should tell the parent that: a. the phenobarbital may be used on an as-needed basis.
b. the phenobarbital may be stopped when an EEG is normal.
c. once the febrile illness is past, the phenobarbital may be stopped.
d. their child is at increased risk for seizures and should continue the phenobarbital.
D
Although the American Academy of Pediatrics has concluded that the risks of long-term treatment with phenobarbital outweigh the potential benefits in most cases, continued treatment with this drug is used in children at greatest risk for future neurologic problems, including children with febrile seizures before 18 months of age and children with neurologic dysfunction or severe developmental delays.
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