acute Pain may be related to inflammation, edema of tissues, possibly evidenced by reports of headache, restlessness, irritability, and moaning.

risk for Hyperthermia: risk factors may include inflammatory process/hypermetabolic state and dehydration.

acute Confusion may be related to physiologic changes (e.g., cerebral edema/altered perfusion, fever), possibly evidenced by fluctuation in cognition/level of consciousness, increased agitation/restlessness, hallucinations.

risk for Suffocation/Trauma: risk factors may include development of clonic/tonic muscle activity and changes in consciousness (seizure activity).