Kern County EMT Protocols Practice Test

In a patient with seizure amid fever, what is an appropriate post-seizure pediatric instruction?

Immediate defibrillation Administer Acetaminophen 15 mg/kg PO after seizure Administer benzodiazepines routinely after fever Trendelenburg

Correct Answer:

Administer Acetaminophen 15 mg/kg PO after seizure

Explanation:

After a febrile seizure, the main goal is comfort and fever control while continuing safe observation. Administering acetaminophen at 15 mg/kg by mouth helps lower the fever and reduce child discomfort, which is a straightforward, appropriate post-seizure measure. It addresses the fever that likely contributed to the seizure without introducing unnecessary sedation or risk. Benzodiazepines aren’t routinely given after fever unless a seizure recurs or persists, so giving them as a standard post-seizure step isn’t appropriate. Defibrillation is not indicated for a febrile seizure, and the Trendelenburg position has no role in seizure management and can be harmful. So, giving acetaminophen to reduce fever is the best immediate post-seizure instruction.

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