Materiały źródłowe

• #1 Kawasaki Disease – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK537163/

  Kawasaki disease (KD) is an acute, self-limited medium vessel vasculitis that has a predilection for the coronary arteries. This activity reviews the evaluation and treatment of Kawasaki disease and highlights the role of the interprofessional team in improving care for patients with this condition. […] Summarize the importance of improving care coordination among the interprofessional team members to enhance delivery of care for patients affected by Kawasaki disease. […] Treatment aims with Kawasaki disease point to minimize the risk of coronary artery aneurysm (CAA) formation, which peaks two to four weeks after illness onset, by decreasing the inflammation of the coronary arteries. […] Supportive care is also essential. Patients should receive high dose IVIG at 2 g/kg over 10-12 hours as well as high dose aspirin (ASA) (80 mg/kg/day to 100 mg/kg/day divided every six hours) until the patient has been afebrile for over 48 hours.

• #2 Primary care approach to Kawasaki disease

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8027157/

  Kawasaki disease (KD) is an acute, self-limiting febrile illness that predominantly affects young children below five years of age. It is one of the most common vasculitis disorders of childhood and, if left untreated, is associated with development of coronary artery aneurysms (CAA). Primary care physicians play a crucial role in the early diagnosis of KD, as they are often the first contact for patients. Many patients with KD initially present to primary care clinics for acute undifferentiated fever, and the attending doctor has the duty of diagnosing KD. In reality, the incidence of KD is increasing, and the prevalence is higher among Asian populations. KD results in CAA in up to one-third of untreated patients, and persistent aneurysms in 3%5% of patients who receive treatment, putting them at lifelong risk of thrombosis and myocardial ischaemia. A recent study found that children with KD treated after Day 7 of illness were at significantly increased risk of serious heart damage, and this risk rose proportionately with further treatment delay. Similarly, the American Academy of Paediatrics suggested that treatment should ideally be administered within the first seven days of illness and by Day 10 at the latest. The American Heart Association (AHA) recommended that intravenous immunoglobulin (IVIG) should be instituted as early as possible, within the first ten days of illness of the onset of fever, as soon as the diagnosis can be established. This further highlights the pivotal role of primary care providers in early diagnosis to ensure that patients receive prompt treatment for KD.

• #3 Kawasaki Disease in the Pediatric Patient – Straight A Nursing

  https://straightanursingstudent.com/kawasaki-disease/

  Kawasaki disease is a condition affecting the blood vessels, mainly in children between 1-8 years of age, with the most prevalence occurring in those five and younger. […] Kawasaki causes severe inflammation of the vessels (vasculitis), namely the coronary arteries, which can be quite severe and cause permanent heart damage if left untreated. […] The good news is, once identified it’s very treatable and most kids recover just fine. If treatment is delayed and cardiac involvement occurs, some children can develop heart disease later in life. So, the best course of action is to identify and treat it early. Using the Straight A Nursing LATTE method, we’ll go through the key nursing assessments and interventions for this disease. […] A child with Kawasaki disease is likely to be very irritable and possibly also in pain, so getting a full assessment is going to be tricky. Some key things to assess are:

• #4 Kawasaki Disease – Other Childhood Infections – Pediatric Nursing for Nursing RN

  https://www.picmonic.com/pathways/nursing/courses/standard/pediatric-nursing-372/other-childhood-infections-1744/kawasaki-disease_2218

  Kawasaki disease is characterized by extensive, systemic inflammation of vasculature including arterioles, venules, and capillaries. […] In the acute phase of the disease, the patient will develop a high fever that does not respond to drug therapy initially. […] Inflammation of the conjunctiva of the eye, called conjunctivitis, may also develop during the acute phase of the disease. […] Patients with Kawasaki disease will have a red tongue due to sloughing of the normal coating of the tongue with enlarged fungiform papillae, which resemble the seeds of a strawberry. […] Redness and swelling of the hands and feet may be apparent in patients with this disease. These symptoms are only present in the acute phase of the disease. […] The subacute phase of the disease begins when the fever resolves, and lasts until all of the signs and symptoms are gone. In this phase, the hands and feet will begin peeling. This is referred to as a desquamating skin rash.

• #5 Primary care approach to Kawasaki disease

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8027157/

  Kawasaki disease (KD) is an acute, self-limiting febrile illness that predominantly affects young children below five years of age. It is one of the most common vasculitis disorders of childhood and, if left untreated, is associated with development of coronary artery aneurysms (CAA). Primary care physicians play a crucial role in the early diagnosis of KD, as they are often the first contact for patients. Many patients with KD initially present to primary care clinics for acute undifferentiated fever, and the attending doctor has the duty of diagnosing KD. In reality, the incidence of KD is increasing, and the prevalence is higher among Asian populations. KD results in CAA in up to one-third of untreated patients, and persistent aneurysms in 3%5% of patients who receive treatment, putting them at lifelong risk of thrombosis and myocardial ischaemia. A recent study found that children with KD treated after Day 7 of illness were at significantly increased risk of serious heart damage, and this risk rose proportionately with further treatment delay. Similarly, the American Academy of Paediatrics suggested that treatment should ideally be administered within the first seven days of illness and by Day 10 at the latest. The American Heart Association (AHA) recommended that intravenous immunoglobulin (IVIG) should be instituted as early as possible, within the first ten days of illness of the onset of fever, as soon as the diagnosis can be established. This further highlights the pivotal role of primary care providers in early diagnosis to ensure that patients receive prompt treatment for KD.

• #6 Be alert for Kawasaki disease

  https://www.myamericannurse.com/be-alert-for-kawasaki-disease/

  Early detection is key to avoiding heart disease. […] Nurses with strong assessment skills may be the key to early KD diagnosis of Kawasaki Disease. […] Fortunately, with prompt diagnosis and treatment, only a small percentage of those with KD cardiac complications will have lasting damage. […] Your strong assessment skills may be the key to an early KD diagnosis. The more quickly patients receive a correct diagnosis and proper treatment, the sooner theyll return to optimal quality of life.

• #7

  https://gevhernesibedergisi.com/index.php/gnj/article/view/30

  Kawasaki Disease (KD) predominantly affects children under 5, unknown cause, acute, febrile, self-limiting childhood systemic vasculitis. […] it is very important to increase awareness, to make differential diagnosis and to establish the diagnosis in patients who do not respond to antibiotic treatment, have a long-lasting fever, restlessness, rash and other diagnostic criteria. […] it is aimed to raise the awareness of pediatric nurses who care for children with kawasaki disease. […] The importance of the primary caregiver nurse is indispensable for early diagnosis in patients requiring special care, such as KD, for the symptoms to regress or disappear in a short time and to increase the quality of life.

• #8 Be alert for Kawasaki disease

  https://www.myamericannurse.com/be-alert-for-kawasaki-disease/

  Early detection is key to avoiding heart disease. […] Nurses with strong assessment skills may be the key to early KD diagnosis of Kawasaki Disease. […] Fortunately, with prompt diagnosis and treatment, only a small percentage of those with KD cardiac complications will have lasting damage. […] Your strong assessment skills may be the key to an early KD diagnosis. The more quickly patients receive a correct diagnosis and proper treatment, the sooner theyll return to optimal quality of life.

• #9

  https://gevhernesibedergisi.com/index.php/gnj/article/view/30

  Kawasaki Disease (KD) predominantly affects children under 5, unknown cause, acute, febrile, self-limiting childhood systemic vasculitis. […] it is very important to increase awareness, to make differential diagnosis and to establish the diagnosis in patients who do not respond to antibiotic treatment, have a long-lasting fever, restlessness, rash and other diagnostic criteria. […] it is aimed to raise the awareness of pediatric nurses who care for children with kawasaki disease. […] The importance of the primary caregiver nurse is indispensable for early diagnosis in patients requiring special care, such as KD, for the symptoms to regress or disappear in a short time and to increase the quality of life.

• #10 Kawasaki Disease Nursing Care Management: Study Guide

  https://nurseslabs.com/kawasaki-disease/

  Kawasaki disease Nursing Management involves the following systematic approach: […] The child should be assessed in every phase of the disease: […] The goals for the patient include: […] Nursing interventions for the patient with Kawasaki disease are: […] Goals are met as evidenced by: […] Documentation in a child with Kawasaki disease involves the following:

• #11 Nursing Care Plan for Kawasaki Disease: Promoting Healing and Preventing Complications – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-kawasaki-disease-promoting-healing-and-preventing-complications/

  Kawasaki disease is a pediatric condition characterized by inflammation of the blood vessels, primarily affecting children under the age of 5. The management of Kawasaki disease requires a comprehensive nursing care plan to promote healing, relieve symptoms, and prevent potential complications. […] As a nurse, your role is vital in providing holistic care to patients with Kawasaki disease, including managing symptoms, preventing coronary artery abnormalities, and promoting healing. […] A thorough assessment is essential for the development of an effective care plan for children with Kawasaki disease. Key assessments include: Vital signs monitoring, including temperature, heart rate, blood pressure, and respiratory rate. […] Monitor vital signs regularly, including temperature, blood pressure, heart rate, and respiratory rate, to assess for changes and potential cardiovascular complications.

• #12 Nursing Care Plan for Kawasaki Disease: Promoting Healing and Preventing Complications – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-kawasaki-disease-promoting-healing-and-preventing-complications/

  Kawasaki disease is a pediatric condition characterized by inflammation of the blood vessels, primarily affecting children under the age of 5. The management of Kawasaki disease requires a comprehensive nursing care plan to promote healing, relieve symptoms, and prevent potential complications. […] As a nurse, your role is vital in providing holistic care to patients with Kawasaki disease, including managing symptoms, preventing coronary artery abnormalities, and promoting healing. […] A thorough assessment is essential for the development of an effective care plan for children with Kawasaki disease. Key assessments include: Vital signs monitoring, including temperature, heart rate, blood pressure, and respiratory rate. […] Monitor vital signs regularly, including temperature, blood pressure, heart rate, and respiratory rate, to assess for changes and potential cardiovascular complications.

• #13 Kawasaki Disease Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/kawasaki-disease-nursing-diagnosis/

  Kawasaki disease is a serious condition causing inflammation of blood vessels throughout the body that primarily affects children under 5 years of age. This nursing diagnosis guide focuses on the comprehensive care and management of patients with Kawasaki disease, a leading cause of acquired heart disease in children. […] The following are the common nursing care planning goals and expected outcomes for Kawasaki disease: The patient will maintain normal cardiac function. The patients fever will resolve within the expected timeframe. The patient will show no signs of complications. The patient will maintain adequate hydration. The parent/caregiver will demonstrate an understanding of the disease process and management. The patient will achieve age-appropriate activities of daily living. […] Track temperature, heart rate, blood pressure, and respiratory rate. Fever patterns and cardiovascular changes are crucial indicators of disease progression.

• #14 5 Kawasaki Disease Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/kawasaki-disease-nursing-care-plans/

  Kawasaki Disease Nursing Care Plans and Nursing Diagnosis […] Learn about nursing care plans for Kawasaki disease, a rare but serious condition affecting young children. Discover assessment and diagnostic criteria, as well as effective treatment and management strategies for this disease. With our guide, nurses can develop comprehensive care plans to improve patient outcomes and promote better health and well-being. […] Nursing goals for a child with Kawasaki disease may include increased understanding of the parents and child about the disease condition, medical treatment and planned follow-up care, relief of pain, improved physical mobility, adequate coping, and absence of complications. […] The following are the nursing priorities for patients with Kawasaki disease (mucocutaneous lymph node syndrome): […] Monitoring and managing potential abnormalities in the coronary arteries to prevent long-term cardiac issues. […] Effectively managing persistent high fever to alleviate discomfort and minimize complications. […] Regularly assessing cardiac function through tests like ECGs and echocardiograms to detect any abnormalities requiring intervention. […] Administering appropriate treatments to control systemic inflammation associated with Kawasaki Disease. […] Monitoring platelet counts and managing blood clotting or bleeding risks. […] Regular evaluations and care to address eye inflammation and oral manifestations of the disease. […] Ensuring regular check-ups, tests, and imaging to monitor progress, assess ongoing symptoms or complications, and adjust treatment plans.

• #15 Kawasaki Disease Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/kawasaki-disease-nursing-diagnosis/

  Administer Medications as Prescribed: Intravenous immunoglobulin (IVIG), Aspirin therapy, Antipyretics as needed. […] Provide Education: Disease process explanation, Medication administration, Follow-up care requirements, Warning signs and symptoms. […] Nursing Diagnosis Statement: Risk for Decreased Cardiac Output related to coronary artery inflammation secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Hyperthermia related to inflammatory process secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Acute Pain related to inflammation of blood vessels and joints secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Risk for Impaired Skin Integrity related to inflammatory process secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Anxiety (Parent) related to the childs condition and uncertain prognosis secondary to Kawasaki disease.

• #16 Kawasaki Disease Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/kawasaki-disease-nursing-diagnosis/

  Administer Medications as Prescribed: Intravenous immunoglobulin (IVIG), Aspirin therapy, Antipyretics as needed. […] Provide Education: Disease process explanation, Medication administration, Follow-up care requirements, Warning signs and symptoms. […] Nursing Diagnosis Statement: Risk for Decreased Cardiac Output related to coronary artery inflammation secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Hyperthermia related to inflammatory process secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Acute Pain related to inflammation of blood vessels and joints secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Risk for Impaired Skin Integrity related to inflammatory process secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Anxiety (Parent) related to the childs condition and uncertain prognosis secondary to Kawasaki disease.

• #17 Pediatrics Care Plan Kawasaki Disease Final Draft and Corrected | PDF | Dehydration | Pain

  https://www.scribd.com/doc/81271523/Pediatrics-Care-Plan-Kawasaki-Disease-Final-Draft-and-Corrected

  The document provides a nursing care plan for a pediatric patient diagnosed with Kawasaki disease. It includes 3 nursing diagnoses in order of priority: 1) Hyperthermia, 2) Acute pain, and 3) Impaired skin/tissue integrity. For each diagnosis, it lists patient goals, nursing interventions, rationales, evaluations, and outcomes. The care plan assesses the patient’s vital signs, pain levels, rashes, hydration status, and provides comfort measures to address their symptoms and meet their short-term goals within the shift.

• #18 5 Kawasaki Disease Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/kawasaki-disease-nursing-care-plans/

  Kawasaki Disease Nursing Care Plans and Nursing Diagnosis […] Learn about nursing care plans for Kawasaki disease, a rare but serious condition affecting young children. Discover assessment and diagnostic criteria, as well as effective treatment and management strategies for this disease. With our guide, nurses can develop comprehensive care plans to improve patient outcomes and promote better health and well-being. […] Nursing goals for a child with Kawasaki disease may include increased understanding of the parents and child about the disease condition, medical treatment and planned follow-up care, relief of pain, improved physical mobility, adequate coping, and absence of complications. […] The following are the nursing priorities for patients with Kawasaki disease (mucocutaneous lymph node syndrome): […] Monitoring and managing potential abnormalities in the coronary arteries to prevent long-term cardiac issues. […] Effectively managing persistent high fever to alleviate discomfort and minimize complications. […] Regularly assessing cardiac function through tests like ECGs and echocardiograms to detect any abnormalities requiring intervention. […] Administering appropriate treatments to control systemic inflammation associated with Kawasaki Disease. […] Monitoring platelet counts and managing blood clotting or bleeding risks. […] Regular evaluations and care to address eye inflammation and oral manifestations of the disease. […] Ensuring regular check-ups, tests, and imaging to monitor progress, assess ongoing symptoms or complications, and adjust treatment plans.

• #19 5 Kawasaki Disease Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/kawasaki-disease-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with Kawasaki disease (mucocutaneous lymph node syndrome) based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: […] The child will maintain a normal temperature. […] The child’s oral mucosa will be free from dryness and irritation. […] The client will experience decreased anxiety. […] The child will experience less pain. […] The child will manifest healing of peripheral erythema. […] The child will perform activities independently or within the limit of disease. […] Therapeutic interventions and nursing actions for patients with Kawasaki disease (mucocutaneous lymph node syndrome) may include: […] Nursing care plans must prioritize measures to lower the patients fever and monitor their vital signs to prevent complications related to hyperthermia. […] This can result in difficulty swallowing, speaking, and eating, requiring careful nursing care to prevent further complications and promote healing. […] Pain management is an important component of nursing care plans for patients with Kawasaki disease to help alleviate their discomfort and improve their quality of life. […] Proper skin care and monitoring are crucial components of nursing care plans for patients with Kawasaki disease to promote healing and prevent further skin damage. […] Nursing care to prevent complications and promote recovery. […] Assessment provides baseline information for the design of anxiety. […] Encouragement and reassurance help the parents to identify and regain control of their emotions. […] This reassures parents that their child is receiving appropriate care.

• #20 Kawasaki Disease Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/kawasaki-disease-nursing-diagnosis/

  Kawasaki disease is a serious condition causing inflammation of blood vessels throughout the body that primarily affects children under 5 years of age. This nursing diagnosis guide focuses on the comprehensive care and management of patients with Kawasaki disease, a leading cause of acquired heart disease in children. […] The following are the common nursing care planning goals and expected outcomes for Kawasaki disease: The patient will maintain normal cardiac function. The patients fever will resolve within the expected timeframe. The patient will show no signs of complications. The patient will maintain adequate hydration. The parent/caregiver will demonstrate an understanding of the disease process and management. The patient will achieve age-appropriate activities of daily living. […] Track temperature, heart rate, blood pressure, and respiratory rate. Fever patterns and cardiovascular changes are crucial indicators of disease progression.

• #21 5 Kawasaki Disease Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/kawasaki-disease-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with Kawasaki disease (mucocutaneous lymph node syndrome) based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: […] The child will maintain a normal temperature. […] The child’s oral mucosa will be free from dryness and irritation. […] The client will experience decreased anxiety. […] The child will experience less pain. […] The child will manifest healing of peripheral erythema. […] The child will perform activities independently or within the limit of disease. […] Therapeutic interventions and nursing actions for patients with Kawasaki disease (mucocutaneous lymph node syndrome) may include: […] Nursing care plans must prioritize measures to lower the patients fever and monitor their vital signs to prevent complications related to hyperthermia. […] This can result in difficulty swallowing, speaking, and eating, requiring careful nursing care to prevent further complications and promote healing. […] Pain management is an important component of nursing care plans for patients with Kawasaki disease to help alleviate their discomfort and improve their quality of life. […] Proper skin care and monitoring are crucial components of nursing care plans for patients with Kawasaki disease to promote healing and prevent further skin damage. […] Nursing care to prevent complications and promote recovery. […] Assessment provides baseline information for the design of anxiety. […] Encouragement and reassurance help the parents to identify and regain control of their emotions. […] This reassures parents that their child is receiving appropriate care.

• #22 Kawasaki Disease Nursing Care Management: Study Guide

  https://nurseslabs.com/kawasaki-disease/

  Kawasaki disease Nursing Management involves the following systematic approach: […] The child should be assessed in every phase of the disease: […] The goals for the patient include: […] Nursing interventions for the patient with Kawasaki disease are: […] Goals are met as evidenced by: […] Documentation in a child with Kawasaki disease involves the following:

• #23 5 Kawasaki Disease Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/kawasaki-disease-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with Kawasaki disease (mucocutaneous lymph node syndrome) based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: […] The child will maintain a normal temperature. […] The child’s oral mucosa will be free from dryness and irritation. […] The client will experience decreased anxiety. […] The child will experience less pain. […] The child will manifest healing of peripheral erythema. […] The child will perform activities independently or within the limit of disease. […] Therapeutic interventions and nursing actions for patients with Kawasaki disease (mucocutaneous lymph node syndrome) may include: […] Nursing care plans must prioritize measures to lower the patients fever and monitor their vital signs to prevent complications related to hyperthermia. […] This can result in difficulty swallowing, speaking, and eating, requiring careful nursing care to prevent further complications and promote healing. […] Pain management is an important component of nursing care plans for patients with Kawasaki disease to help alleviate their discomfort and improve their quality of life. […] Proper skin care and monitoring are crucial components of nursing care plans for patients with Kawasaki disease to promote healing and prevent further skin damage. […] Nursing care to prevent complications and promote recovery. […] Assessment provides baseline information for the design of anxiety. […] Encouragement and reassurance help the parents to identify and regain control of their emotions. […] This reassures parents that their child is receiving appropriate care.

• #24 Pediatrics Care Plan Kawasaki Disease Final Draft and Corrected | PDF | Dehydration | Pain

  https://www.scribd.com/doc/81271523/Pediatrics-Care-Plan-Kawasaki-Disease-Final-Draft-and-Corrected

  The document provides a nursing care plan for a pediatric patient diagnosed with Kawasaki disease. It includes 3 nursing diagnoses in order of priority: 1) Hyperthermia, 2) Acute pain, and 3) Impaired skin/tissue integrity. For each diagnosis, it lists patient goals, nursing interventions, rationales, evaluations, and outcomes. The care plan assesses the patient’s vital signs, pain levels, rashes, hydration status, and provides comfort measures to address their symptoms and meet their short-term goals within the shift.

• #25 5 Kawasaki Disease Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/kawasaki-disease-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with Kawasaki disease (mucocutaneous lymph node syndrome) based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: […] The child will maintain a normal temperature. […] The child’s oral mucosa will be free from dryness and irritation. […] The client will experience decreased anxiety. […] The child will experience less pain. […] The child will manifest healing of peripheral erythema. […] The child will perform activities independently or within the limit of disease. […] Therapeutic interventions and nursing actions for patients with Kawasaki disease (mucocutaneous lymph node syndrome) may include: […] Nursing care plans must prioritize measures to lower the patients fever and monitor their vital signs to prevent complications related to hyperthermia. […] This can result in difficulty swallowing, speaking, and eating, requiring careful nursing care to prevent further complications and promote healing. […] Pain management is an important component of nursing care plans for patients with Kawasaki disease to help alleviate their discomfort and improve their quality of life. […] Proper skin care and monitoring are crucial components of nursing care plans for patients with Kawasaki disease to promote healing and prevent further skin damage. […] Nursing care to prevent complications and promote recovery. […] Assessment provides baseline information for the design of anxiety. […] Encouragement and reassurance help the parents to identify and regain control of their emotions. […] This reassures parents that their child is receiving appropriate care.

• #26 Primary care approach to Kawasaki disease

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8027157/

  All patients with suspected KD warrant admission. First-line treatments for KD include IVIG and aspirin. Giving IVIG in the acute phase reduces the risk but does not prevent the development of CAAs. In view of the risk of CAA and hypercoagulable state from reactive thrombocytosis, these patients will be started on aspirin to reduce the chance of coronary artery thrombosis. For uncomplicated cases, echocardiography will be done at two weeks, then at 68 weeks after the onset of disease to look for coronary artery changes. Aspirin can be discontinued if the patient has no evidence of coronary changes by 68 weeks after the onset of illness. […] The diagnosis of KD can be easily missed if KD is not considered as a differential diagnosis, especially in patients with incomplete or atypical features. Prolonged fever and irritability may be the only clinical features of KD in an infant below six months of age. The presence of fever and pyuria in an infant or young child can be mistaken for a urinary tract infection, rash may be wrongly diagnosed as allergic rash or viral exanthem, and lymphadenopathy may be overlooked as infective lymphadenitis.

• #27 5 Kawasaki Disease Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/kawasaki-disease-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with Kawasaki disease (mucocutaneous lymph node syndrome) based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: […] The child will maintain a normal temperature. […] The child’s oral mucosa will be free from dryness and irritation. […] The client will experience decreased anxiety. […] The child will experience less pain. […] The child will manifest healing of peripheral erythema. […] The child will perform activities independently or within the limit of disease. […] Therapeutic interventions and nursing actions for patients with Kawasaki disease (mucocutaneous lymph node syndrome) may include: […] Nursing care plans must prioritize measures to lower the patients fever and monitor their vital signs to prevent complications related to hyperthermia. […] This can result in difficulty swallowing, speaking, and eating, requiring careful nursing care to prevent further complications and promote healing. […] Pain management is an important component of nursing care plans for patients with Kawasaki disease to help alleviate their discomfort and improve their quality of life. […] Proper skin care and monitoring are crucial components of nursing care plans for patients with Kawasaki disease to promote healing and prevent further skin damage. […] Nursing care to prevent complications and promote recovery. […] Assessment provides baseline information for the design of anxiety. […] Encouragement and reassurance help the parents to identify and regain control of their emotions. […] This reassures parents that their child is receiving appropriate care.

• #28 Pediatrics Care Plan Kawasaki Disease Final Draft and Corrected | PDF | Dehydration | Pain

  https://www.scribd.com/doc/81271523/Pediatrics-Care-Plan-Kawasaki-Disease-Final-Draft-and-Corrected

  The document provides a nursing care plan for a pediatric patient diagnosed with Kawasaki disease. It includes 3 nursing diagnoses in order of priority: 1) Hyperthermia, 2) Acute pain, and 3) Impaired skin/tissue integrity. For each diagnosis, it lists patient goals, nursing interventions, rationales, evaluations, and outcomes. The care plan assesses the patient’s vital signs, pain levels, rashes, hydration status, and provides comfort measures to address their symptoms and meet their short-term goals within the shift.

• #29 5 Kawasaki Disease Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/kawasaki-disease-nursing-care-plans/

  Kawasaki Disease Nursing Care Plans and Nursing Diagnosis […] Learn about nursing care plans for Kawasaki disease, a rare but serious condition affecting young children. Discover assessment and diagnostic criteria, as well as effective treatment and management strategies for this disease. With our guide, nurses can develop comprehensive care plans to improve patient outcomes and promote better health and well-being. […] Nursing goals for a child with Kawasaki disease may include increased understanding of the parents and child about the disease condition, medical treatment and planned follow-up care, relief of pain, improved physical mobility, adequate coping, and absence of complications. […] The following are the nursing priorities for patients with Kawasaki disease (mucocutaneous lymph node syndrome): […] Monitoring and managing potential abnormalities in the coronary arteries to prevent long-term cardiac issues. […] Effectively managing persistent high fever to alleviate discomfort and minimize complications. […] Regularly assessing cardiac function through tests like ECGs and echocardiograms to detect any abnormalities requiring intervention. […] Administering appropriate treatments to control systemic inflammation associated with Kawasaki Disease. […] Monitoring platelet counts and managing blood clotting or bleeding risks. […] Regular evaluations and care to address eye inflammation and oral manifestations of the disease. […] Ensuring regular check-ups, tests, and imaging to monitor progress, assess ongoing symptoms or complications, and adjust treatment plans.

• #30 Nursing Care Plan for Kawasaki Disease: Promoting Healing and Preventing Complications – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-kawasaki-disease-promoting-healing-and-preventing-complications/

  Based on the assessment, the following nursing diagnoses may be applicable to a child with Kawasaki disease: Ineffective Tissue Perfusion related to compromised blood flow secondary to vasculitis. […] Risk for Altered Cardiac Output related to myocardial dysfunction and potential development of coronary artery abnormalities. […] Monitor vital signs regularly and assess for signs of decreased perfusion, such as cool extremities, delayed capillary refill, and weak peripheral pulses. […] Collaborate with the healthcare team to ensure timely and appropriate cardiac evaluations, such as echocardiograms, to detect and monitor coronary artery involvement. […] Educate parents or caregivers about the signs and symptoms of Kawasaki disease and the importance of early medical intervention. […] Provide information on when to seek immediate medical attention if new or worsening symptoms arise.

• #31 5 Kawasaki Disease Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/kawasaki-disease-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with Kawasaki disease (mucocutaneous lymph node syndrome) based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: […] The child will maintain a normal temperature. […] The child’s oral mucosa will be free from dryness and irritation. […] The client will experience decreased anxiety. […] The child will experience less pain. […] The child will manifest healing of peripheral erythema. […] The child will perform activities independently or within the limit of disease. […] Therapeutic interventions and nursing actions for patients with Kawasaki disease (mucocutaneous lymph node syndrome) may include: […] Nursing care plans must prioritize measures to lower the patients fever and monitor their vital signs to prevent complications related to hyperthermia. […] This can result in difficulty swallowing, speaking, and eating, requiring careful nursing care to prevent further complications and promote healing. […] Pain management is an important component of nursing care plans for patients with Kawasaki disease to help alleviate their discomfort and improve their quality of life. […] Proper skin care and monitoring are crucial components of nursing care plans for patients with Kawasaki disease to promote healing and prevent further skin damage. […] Nursing care to prevent complications and promote recovery. […] Assessment provides baseline information for the design of anxiety. […] Encouragement and reassurance help the parents to identify and regain control of their emotions. […] This reassures parents that their child is receiving appropriate care.

• #32 106066843 case-study-kawadaki | PDF

  https://www.slideshare.net/slideshow/106066843-casestudykawadaki/52550278

  After days of nursing interventions I may be able to choose a case study that will contribute and expand my knowledge and improve my skills on specific procedures. To formulate the appropriate nursing intervention and plan of care to prevent complications as well as to promote wellness. […] That within my 5 days ward exposure, I may be able to: Establish good interpersonal and professional relationship with our patient and his accompanying family member; […] Collect data regarding the past and present health history of our patient; Assess our patient in a cephalocaudal direction to serve as our baseline data in determining the changes in patients body; […] List the actual and possible symptoms that our patient my manifest; […] Enumerate the actual and possible medical and nursing management rendered.

• #33 Kawasaki Disease Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/kawasaki-disease-nursing-diagnosis/

  Administer Medications as Prescribed: Intravenous immunoglobulin (IVIG), Aspirin therapy, Antipyretics as needed. […] Provide Education: Disease process explanation, Medication administration, Follow-up care requirements, Warning signs and symptoms. […] Nursing Diagnosis Statement: Risk for Decreased Cardiac Output related to coronary artery inflammation secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Hyperthermia related to inflammatory process secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Acute Pain related to inflammation of blood vessels and joints secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Risk for Impaired Skin Integrity related to inflammatory process secondary to Kawasaki disease. […] Nursing Diagnosis Statement: Anxiety (Parent) related to the childs condition and uncertain prognosis secondary to Kawasaki disease.

• #34 When caring for a child with Kawasaki disease, the nurse | Nursing Exam

  https://www.naxlex.com/nursing/question/when-caring-for-a-child-with-kawasaki-disease-the-nurse-should-unders

  When caring for a child with Kawasaki disease, the nurse should understand that principle of care? […] Therapeutic management includes the administration of gamma globulin and aspirin. […] Gamma globulin is an intravenous immunoglobulin that can reduce the risk of these complications, and aspirin can help lower fever and inflammation. […] Choice C is wrong because aspirin is not contraindicated. Aspirin is part of the standard treatment for Kawasaki disease, along with gamma globulin. However, aspirin should be used with caution and under medical supervision, as it can cause Reyes syndrome in children with viral infections.

• #35 Kawasaki disease – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/kawasaki-disease/diagnosis-treatment/drc-20354603

  Our caring team of Mayo Clinic experts can help you with your Kawasaki disease-related health concerns […] It’s best to start treatment for Kawasaki disease as early as possible, when your child still has a fever. Treatment for Kawasaki disease often happens in a hospital. The goals of treatment are to lower fever, reduce swelling and prevent heart damage. […] Treatment for Kawasaki disease can include: […] A healthcare professional needs to oversee giving aspirin to children with Kawasaki disease. […] Once the fever goes down, a child might need to take low-dose aspirin for at least six weeks. This can be longer if a there are problems with the heart artery. Aspirin helps prevent blood clotting. […] If your child has any signs of heart problems, the healthcare professional might suggest follow-up tests to check your child’s heart health. […] If heart problems keep on, your child might be sent to a specialist who treats heart disease in children, called a pediatric cardiologist. Treatment for heart issues linked to Kawasaki disease depends on the type of heart condition.

• #36 Primary care approach to Kawasaki disease

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8027157/

  All patients with suspected KD warrant admission. First-line treatments for KD include IVIG and aspirin. Giving IVIG in the acute phase reduces the risk but does not prevent the development of CAAs. In view of the risk of CAA and hypercoagulable state from reactive thrombocytosis, these patients will be started on aspirin to reduce the chance of coronary artery thrombosis. For uncomplicated cases, echocardiography will be done at two weeks, then at 68 weeks after the onset of disease to look for coronary artery changes. Aspirin can be discontinued if the patient has no evidence of coronary changes by 68 weeks after the onset of illness. […] The diagnosis of KD can be easily missed if KD is not considered as a differential diagnosis, especially in patients with incomplete or atypical features. Prolonged fever and irritability may be the only clinical features of KD in an infant below six months of age. The presence of fever and pyuria in an infant or young child can be mistaken for a urinary tract infection, rash may be wrongly diagnosed as allergic rash or viral exanthem, and lymphadenopathy may be overlooked as infective lymphadenitis.

• #37 Kawasaki Disease: Practice Essentials, Background, Pathophysiology

  https://emedicine.medscape.com/article/965367-overview

  Kawasaki disease (KD), also known as mucocutaneous lymph node syndrome and Kawasaki syndrome, is an acute febrile illness of early childhood characterized by vasculitis of the medium-sized arteries. Given its predilection for the coronary arteries, there is a potential for the development of coronary artery aneurysms (CAAs) and thus sudden death. […] The principal goal of treatment is to prevent coronary artery disease. Intravenous immunoglobulin (IVIG), a purified preparation of gamma globulin, and aspirin are the mainstays of treatment. Patients should be treated with IVIG within 10 days after the onset of fever to prevent the development of cardiac sequelae. […] Other medications that are used variably as adjunctive treatments or for IVIG-resistant KD include corticosteroids, infliximab, cyclophosphamide, methotrexate, and ulinastatin. In addition to aspirin, other anticoagulants are sometimes utilized, including clopidogrel, dipyridamole, warfarin, and heparin.

• #38

  https://www.nhs.uk/conditions/kawasaki-disease/treatment/

  They’ll probably be given high-dose aspirin until their temperature subsides. […] They may then be prescribed low-dose aspirin until 6 to 8 weeks after the start of their symptoms. […] Intravenous immunoglobulin is also called IVIG. […] Research has shown IVIG can reduce fever and the risk of heart problems. […] After your child is given IVIG, their symptoms should improve within 36 hours. […] If their high temperature doesn’t improve after 36 hours, they may be given a second dose of IVIG. […] Corticosteroids may be recommended if IVIG hasn’t been effective, or if your child is found to have a high risk of heart problems. […] When your child is discharged from hospital, you should be given advice about how to care for them at home. […] Make sure your child continues taking any medicine that’s been prescribed for them and look out for any side effects. […] Your child will be given a follow-up appointment and their heart will continue to be monitored. […] Full recovery could take around 6 weeks, but may take longer in some children. […] Follow-up treatment may be needed if your child develops further complications.

• #39

• #40

  https://www.nhs.uk/conditions/kawasaki-disease/treatment/

  They’ll probably be given high-dose aspirin until their temperature subsides. […] They may then be prescribed low-dose aspirin until 6 to 8 weeks after the start of their symptoms. […] Intravenous immunoglobulin is also called IVIG. […] Research has shown IVIG can reduce fever and the risk of heart problems. […] After your child is given IVIG, their symptoms should improve within 36 hours. […] If their high temperature doesn’t improve after 36 hours, they may be given a second dose of IVIG. […] Corticosteroids may be recommended if IVIG hasn’t been effective, or if your child is found to have a high risk of heart problems. […] When your child is discharged from hospital, you should be given advice about how to care for them at home. […] Make sure your child continues taking any medicine that’s been prescribed for them and look out for any side effects. […] Your child will be given a follow-up appointment and their heart will continue to be monitored. […] Full recovery could take around 6 weeks, but may take longer in some children. […] Follow-up treatment may be needed if your child develops further complications.

• #41 Kawasaki disease

  https://www.rch.org.au/kidsinfo/fact_sheets/kawasaki_disease/

  Most children with Kawasaki disease are prescribed aspirin, with low doses to be continued for several weeks. Your child will have to stay in hospital for a few days until the illness begins to improve. […] Once you go home, it may take three or four weeks for your child to fully recover. […] If your child has Kawasaki disease they will need to have long-term follow-up care with their GP and a paediatrician. […] They will have another echo test after six to eight weeks. If this second echo is normal, it is unlikely that further changes to the coronary arteries will occur. […] Aspirin is usually stopped if the six-week echo is normal. […] The vast majority of children with Kawasaki disease recover fully and live normal lives. […] The disease is treated with intravenous immunoglobulin and aspirin. […] Follow-up is required by your GP and paediatrician. […] Most children with Kawasaki disease recover completely.

• #42 Kawasaki Disease in the Pediatric Patient – Straight A Nursing

  https://straightanursingstudent.com/kawasaki-disease/

  Kawasaki disease is treated with high doses of immune globulin (IVIG) and aspirin. The IVIG is used to help prevent the coronary arteries from getting affected while the aspirin is used to manage inflammation, help prevent coronary artery abnormalities and lower fever. […] It is important that the family understand that the children with cardiac involvement will need continued evaluation of their heart through periodic ECG and echocardiograms. […] The family should also be informed that the aspirin therapy can cause a complication known as Reyes Syndrome, which can cause brain and liver damage.

• #43 Nursing Care Plan for Kawasaki Disease: Promoting Healing and Preventing Complications – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-kawasaki-disease-promoting-healing-and-preventing-complications/

  Based on the assessment, the following nursing diagnoses may be applicable to a child with Kawasaki disease: Ineffective Tissue Perfusion related to compromised blood flow secondary to vasculitis. […] Risk for Altered Cardiac Output related to myocardial dysfunction and potential development of coronary artery abnormalities. […] Monitor vital signs regularly and assess for signs of decreased perfusion, such as cool extremities, delayed capillary refill, and weak peripheral pulses. […] Collaborate with the healthcare team to ensure timely and appropriate cardiac evaluations, such as echocardiograms, to detect and monitor coronary artery involvement. […] Educate parents or caregivers about the signs and symptoms of Kawasaki disease and the importance of early medical intervention. […] Provide information on when to seek immediate medical attention if new or worsening symptoms arise.

• #44 Kawasaki disease

  https://www.aboutkidshealth.ca/kawasaki-disease

  After going home, many children with Kawasaki disease will have rashes, irritability, sore joints and may develop peeling of the fingers and toes. It may also take a few more days for your child’s appetite to return to normal. For most children, these symptoms resolve completely by themselves. However, it is important to monitor the symptoms and discuss them with your health-care provider at follow-up, especially if they do not go away after a few weeks. […] Children can go back to school or daycare within a few days after coming home from the hospital. Your child should be able to participate in the same activities as their healthy peers. Return to normal life is encouraged as early as possible. […] At this time, it is not known if children who have had Kawasaki disease and who have normal echocardiograms are more likely to develop heart problems when they are adults. All children should follow a healthy active lifestyle, but it may be even more important in children who have had Kawasaki disease. […] After treatment with IVIG, your child should wait at least 11 months to have any live immunizations (vaccines). […] While your child is taking ASA, if they are in contact with chickenpox or get chickenpox, call your child’s health-care provider right away.

• #45 Kawasaki Disease Nursing Care Management: Study Guide

  https://nurseslabs.com/kawasaki-disease/

  Kawasaki disease Nursing Management involves the following systematic approach: […] The child should be assessed in every phase of the disease: […] The goals for the patient include: […] Nursing interventions for the patient with Kawasaki disease are: […] Goals are met as evidenced by: […] Documentation in a child with Kawasaki disease involves the following:

• #46 Kawasaki Disease or Incomplete Kawasaki Disease —Discharge — Clinical Pathway: Emergency, Inpatient | Children’s Hospital of Philadelphia

  https://www.chop.edu/clinical-pathway/kawasaki-disease-incomplete-kawasaki-disease-discharge

  Please ensure that Kawasaki disease is listed as the principal problem and select recommended discharge orders/instructions in EPIC. […] Low-dose ASA should be continued until directed by Cardiology. […] Patients with coronary abnormalities may require prolonged use of ASA. […] 2-3 week oral prednisolone/prednisone taper after initial treatment. […] Follow up within 2-3 days. […] Follow up with repeat echocardiogram in approximately two weeks. Significant coronary findings may require earlier follow-up and more frequent echocardiograms. […] Follow up in 1-2 weeks if received steroids, inpatient. […] Parent/caregiver should check child’s temperature daily for 1-2 weeks after discharge from the hospital. […] If the temperature is 38 C or if other symptoms of Kawasaki disease return before follow-up with Cardiology or Rheumatology, child should return to the ED. […] No live vaccines x 11 months. […] During flu season: flu shot prior to discharge if not already received.

• #47 Kawasaki disease long-term effects | Norton Children’s Louisville, Ky.

  https://nortonchildrens.com/news/long-term-effects-of-kawasaki-disease-include-dangerous-heart-issues/

  The long-term effects of Kawasaki disease can include a variety of heart issues. Once grown, patients should be under the care of an adult congenital heart disease specialist. […] Long-term effects of Kawasaki disease, however, can include heart valve issues, abnormal heartbeat rhythm, inflammation of the heart muscle, and aneurysms (bulges in blood vessels). […] In many cases, anti-platelet therapy to prevent blood cells from sticking together and clotting is used to reduce the risk of stroke or heart attack. Aspirin or warfarin (sold under brand names Coumadin and Jantoven) are medications that can thin blood and reduce clotting. […] Those who have lasting complications typically are advised to avoid playing contact sports due to potential for uncontrolled bleeding from the anti-clotting treatments.

• #48 Kawasaki disease long-term effects | Norton Children’s Louisville, Ky.

  https://nortonchildrens.com/news/long-term-effects-of-kawasaki-disease-include-dangerous-heart-issues/

  Physicians recommend that patients schedule regular checkups for risk assessments every couple of years. These visits allow medical staff to perform tests and provide recommendations on appropriate levels of physical activity. […] “Adults with a history of coronary artery involvement due to Kawasaki disease should have lifelong engagement with a specialist familiar with Kawasaki disease,” Dr. Sobczyk said. […] Those with heart issues resulting from Kawasaki disease typically are advised to avoid a sedentary lifestyle. Inactivity is just as dangerous as over-activity, because it allows clots to form in arteries. […] Patients typically should make health-conscientious lifestyle decisions, such as refraining from smoking, maintaining a diet low in fat and cholesterol, limiting alcohol consumption and controlling their blood pressure. Reproductive health counseling is recommended for female Kawasaki disease patients. […] While Kawasaki disease’s long-term effects can present challenges to adults, these obstacles can be overcome with mindfulness, determination and collaboration with medical professionals.

• #49 Kawasaki Disease | Symptoms, Diagnosis & Treatment

  https://www.cincinnatichildrens.org/health/k/kawasaki

  After discharge, your child will continue to take high-dose aspirin until the signs of inflammation and fever have resolved. Children continue taking a low-dose aspirin every day for usually six to eight weeks or more. Your child will continue to be followed by a cardiologist after Kawasaki disease resolves. […] Your child will follow-up with cardiology after discharge. Your child will initially be seen at two weeks and six to eight weeks. The echocardiogram and electrocardiogram will be repeated during these visits to check your childs coronary arteries. If by six to eight weeks there is no evidence of cardiac involvement, your child’s cardiac risks are extremely low. […] Patients that have coronary aneurysms require periodic cardiology evaluations. The frequency of these visits varies depending on the extent of coronary changes. Often these visits are scheduled once every six to 12 months. With the right medical care, these patients also generally have a good prognosis.

• #50 Kawasaki Disease Program | Children’s National Hospital

  https://www.childrensnational.org/get-care/departments/kawasaki-disease-program

  Our program is involved in maintaining a local Kawasaki disease registry to aid in the development of algorithms on how to diagnose and treat typical Kawasaki disease or coronary artery aneurysms. […] If your child is diagnosed with Kawasaki disease, we will treat your child using these standard therapy methods: Aspirin helps treat your childs inflammation and prevents clots from forming in the coronary artery. […] Once your child is discharged from the hospital, we strongly suggest that your child visit a cardiologist one to two weeks after discharge and then six weeks after discharge. […] If your child has developed a coronary artery aneurysm, we will treat your child with: Infliximab. This monoclonal antibody works to enhance your child’s immune system. […] It’s important to keep follow-up visits with your child’s healthcare provider, even if your child is feeling well.

• #51 Kawasaki Disease | Arthritis Foundation

  https://www.arthritis.org/diseases/kawasaki-disease

  Although most children make a full recovery, many doctors recommend getting an echocardiogram every one to two years to screen for heart problems. Adopting healthy lifestyle habits, like getting regular exercise and eating a heart-healthy diet, can lower the risk of developing heart disease and complications.

• #52 Kawasaki disease long-term effects | Norton Children’s Louisville, Ky.

  https://nortonchildrens.com/news/long-term-effects-of-kawasaki-disease-include-dangerous-heart-issues/

  Physicians recommend that patients schedule regular checkups for risk assessments every couple of years. These visits allow medical staff to perform tests and provide recommendations on appropriate levels of physical activity. […] “Adults with a history of coronary artery involvement due to Kawasaki disease should have lifelong engagement with a specialist familiar with Kawasaki disease,” Dr. Sobczyk said. […] Those with heart issues resulting from Kawasaki disease typically are advised to avoid a sedentary lifestyle. Inactivity is just as dangerous as over-activity, because it allows clots to form in arteries. […] Patients typically should make health-conscientious lifestyle decisions, such as refraining from smoking, maintaining a diet low in fat and cholesterol, limiting alcohol consumption and controlling their blood pressure. Reproductive health counseling is recommended for female Kawasaki disease patients. […] While Kawasaki disease’s long-term effects can present challenges to adults, these obstacles can be overcome with mindfulness, determination and collaboration with medical professionals.

• #53 Kawasaki Disease | Valley Children’s Healthcare

  https://www.valleychildrens.org/rheumatology/conditions/kawasaki-disease

  There is a risk for early coronary artery disease after having Kawasaki disease, including early heart attacks. Your child will need to follow a heart-healthy lifestyle for life. This includes eating healthy foods, getting regular exercise, and not smoking. […] Your child’s healthcare provider will treat Kawasaki with aspirin, intravenous immune globulin (IVIG), or other medicines. […] A child with Kawasaki disease may have serious complications, especially ones affecting the heart.

• #54 A guide for what doctors and parents can do as Kawasaki disease kids grow up | American Heart Association

  https://www.heart.org/en/news/2021/10/11/a-guide-for-what-doctors-and-parents-can-do-as-kawasaki-disease-kids-grow-up

  A medical school lecture taught Dr. Samuel Kung a vital lesson: He needed to see a cardiologist. […] The statement, published Monday in the Journal of the American Heart Association, spells out steps to help patients, their parents and pediatric caregivers prepare for the transition to adult care. […] The new report focuses on the transition from pediatric to adult care of young adults who had such aneurysms. […] To help those patients make the transition to adult care, the statement calls for „a deliberate and coordinated” series of steps that include general education about the disease starting around age 12 and lessons in self-management skills for teens. […] „And we’re really aiming also to engage adult cardiologists,” Tremoulet said. […] Parents can help, she said, by talking with children about their illness and by not being „the ones that are the keepers of the information, but the ones that pass it on.” […] He encourages fellow patients to make sure they understand their condition and, if they don’t already have a cardiologist, to gather as much of their medical history as they can and connect with one who understands Kawasaki disease.

• #55 Formal plans needed to support teens with Kawasaki disease in transition to adult care | American Heart Association

  https://newsroom.heart.org/news/formal-plans-needed-to-support-teens-with-kawasaki-disease-in-transition-to-adult-care

  Kawasaki disease is the most common cause of acquired heart disease that develops in early childhood, creating inflammation in blood vessels, particularly heart arteries. […] Prompt treatment of Kawasaki disease is critical to prevent significant heart problems, and most children recover fully with treatment. […] An increasing number of children who developed coronary artery aneurysms from Kawasaki disease are becoming adults and require transitioning to adult health care. However, a poor transition to an adult health care team could reduce quality follow-up care, which can lead to an increased risk of complications and even death. […] A new American Heart Association scientific statement reviews the existing life-long risks and current guidelines for long-term care of children with Kawasaki disease and suggests that formal health care transition programs be established to ensure uninterrupted medical care for youth with Kawasaki disease, particularly those who may have developed aneurysms. […] In addition, the statement advises establishing formal health care transition training, research development and advocacy programs in support of the growing number of children with Kawasaki disease who are aging into adulthood and transitioning to adult medical care.

• #56 Kawasaki Disease – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK537163/

  The goal of treatment is the prevention of cardiac complications. Therefore, all patients diagnosed with Kawasaki disease should receive IVIG and aspirin. […] Kawasaki disease is a rare disorder, but because of its serious effects on the coronaries, the condition is best managed by an interprofessional team. Once a child is suspected of having Kawasaki disease, the patient should be referred promptly to a cardiologist.

• #57 Partners in Care | Kawasaki Disease treatment at the Texas Center for…

  https://www.partnersincare.health/conditions/kawasaki-disease

  Kawasaki disease is treated with medication to mitigate damage and ease symptoms as the illness runs its course. Children with acute symptoms may be hospitalized for a few days if intravenous, or IV, medications are used. […] Most children make a complete recovery after Kawasaki disease. Your child may need to continue seeing a pediatric cardiologist on a regular basis to check for problems with the heart or blood vessels. Ongoing care is important because heart problems can develop well after Kawasaki disease and your child may not experience any symptoms. A child who has had Kawasaki disease may also be at risk for early coronary artery disease later in life. Adopting heart-healthy habits and seeing a cardiologist as an adult can help prevent coronary artery disease. […] The Texas Center for Pediatric and Congenital Heart Disease, a clinical partnership between Dell Childrens Medical Center and UT Health Austin, takes a multidisciplinary approach to your childs care. This means your child and your family will benefit from the expertise of multiple specialists across a variety of disciplines. Your care team will include pediatric cardiologists, cardiothoracic surgeons, interventional cardiologists, critical care specialists, hospitalists, anesthesiologists, perfusionists, nurses, advanced practice providers, social workers, psychologists, child life specialists, dietitians, physical and occupational therapists, pharmacists, and more, who work together to provide unparalleled care for patients every step of the way. We collaborate with our colleagues at the Dell Medical School and The University of Texas at Austin to utilize the latest research, diagnostic, and treatment techniques, allowing us to identify new therapies to improve treatment outcomes. We are committed to communicating and coordinating your childs care with referring physicians and other partners in the community to ensure that we are providing comprehensive, whole-person care.

• #58 Partners in Care | Kawasaki Disease treatment at the Texas Center for…

  https://www.partnersincare.health/conditions/kawasaki-disease

  Kawasaki disease is treated with medication to mitigate damage and ease symptoms as the illness runs its course. Children with acute symptoms may be hospitalized for a few days if intravenous, or IV, medications are used. […] Most children make a complete recovery after Kawasaki disease. Your child may need to continue seeing a pediatric cardiologist on a regular basis to check for problems with the heart or blood vessels. Ongoing care is important because heart problems can develop well after Kawasaki disease and your child may not experience any symptoms. A child who has had Kawasaki disease may also be at risk for early coronary artery disease later in life. Adopting heart-healthy habits and seeing a cardiologist as an adult can help prevent coronary artery disease. […] The Texas Center for Pediatric and Congenital Heart Disease, a clinical partnership between Dell Childrens Medical Center and UT Health Austin, takes a multidisciplinary approach to your childs care. This means your child and your family will benefit from the expertise of multiple specialists across a variety of disciplines. Your care team will include pediatric cardiologists, cardiothoracic surgeons, interventional cardiologists, critical care specialists, hospitalists, anesthesiologists, perfusionists, nurses, advanced practice providers, social workers, psychologists, child life specialists, dietitians, physical and occupational therapists, pharmacists, and more, who work together to provide unparalleled care for patients every step of the way. We collaborate with our colleagues at the Dell Medical School and The University of Texas at Austin to utilize the latest research, diagnostic, and treatment techniques, allowing us to identify new therapies to improve treatment outcomes. We are committed to communicating and coordinating your childs care with referring physicians and other partners in the community to ensure that we are providing comprehensive, whole-person care.

• #59 Kawasaki Disease in Children | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/kawasaki-disease

  The experienced team members of the Boston Children’s Hospital Kawasaki Disease Program provide coordinated care for children with Kawasaki disease — during the illness’ acute phase and for short- and long-term follow up. […] Each year, our program — staffed by expert cardiologists, rheumatologists, and a pediatric nurse practitioner — treats more than 65 patients who have confirmed or suspected Kawasaki disease. We follow more than 1,500 children and young adults who have had Kawasaki disease in our outpatient Heart Center. […] The Kawasaki Disease Program serves as a national and international resource for parents and physicians. We provide families with a wealth of information and support — and we help pediatricians and other specialists to confirm and treat this hard-to-diagnose illness.

• #60 Nursing Care Plan for Kawasaki Disease: Promoting Healing and Preventing Complications – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-kawasaki-disease-promoting-healing-and-preventing-complications/

  A well-designed nursing care plan is crucial for the effective management of Kawasaki disease in pediatric patients. By conducting thorough assessments, identifying appropriate nursing diagnoses, and implementing targeted interventions, nurses can help promote healing, prevent complications, and provide the necessary support to children and their families throughout the treatment process.

• #61 106066843 case-study-kawadaki | PDF

  https://www.slideshare.net/slideshow/106066843-casestudykawadaki/52550278

  Kawasaki disease is a rare condition that mainly affects children under 5 years old. It causes inflammation in various parts of the body, especially the heart and blood vessels. […] The objectives are to understand Kawasaki disease and provide appropriate nursing care to prevent complications and promote the patient’s wellness and recovery. […] Nurses play a significant role in the management and care of patient with conditions such as this. We play an essential part in symptom management associated with the disease and the therapy. […] This case study is meaningfully designed to provide awareness and thorough explanation to one of the rarest diseases that occur in our country. […] People shouldnt take Kawasaki Disease hideously more so to those who are concerned because management is the key.

• #62 Nursing Care Plan for Kawasaki Disease: Promoting Healing and Preventing Complications – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-kawasaki-disease-promoting-healing-and-preventing-complications/

  A well-designed nursing care plan is crucial for the effective management of Kawasaki disease in pediatric patients. By conducting thorough assessments, identifying appropriate nursing diagnoses, and implementing targeted interventions, nurses can help promote healing, prevent complications, and provide the necessary support to children and their families throughout the treatment process.

• #63 Kawasaki Disease Nursing Care Management: Study Guide

  https://nurseslabs.com/kawasaki-disease/

  Kawasaki disease Nursing Management involves the following systematic approach: […] The child should be assessed in every phase of the disease: […] The goals for the patient include: […] Nursing interventions for the patient with Kawasaki disease are: […] Goals are met as evidenced by: […] Documentation in a child with Kawasaki disease involves the following:

• #64 Kawasaki disease

  https://www.rch.org.au/kidsinfo/fact_sheets/kawasaki_disease/

  Most children with Kawasaki disease are prescribed aspirin, with low doses to be continued for several weeks. Your child will have to stay in hospital for a few days until the illness begins to improve. […] Once you go home, it may take three or four weeks for your child to fully recover. […] If your child has Kawasaki disease they will need to have long-term follow-up care with their GP and a paediatrician. […] They will have another echo test after six to eight weeks. If this second echo is normal, it is unlikely that further changes to the coronary arteries will occur. […] Aspirin is usually stopped if the six-week echo is normal. […] The vast majority of children with Kawasaki disease recover fully and live normal lives. […] The disease is treated with intravenous immunoglobulin and aspirin. […] Follow-up is required by your GP and paediatrician. […] Most children with Kawasaki disease recover completely.

• #65 About Kawasaki Disease | Kawasaki Disease | CDC

  https://www.cdc.gov/kawasaki/about/index.html

  Kawasaki disease (KD) can cause heart and blood vessel damage. […] Most children recover with treatment. […] Speak with a healthcare provider if your child has symptoms of KD. […] Treatment for KD is available, and it must be given at the hospital. It typically combines a mixture of antibodies given through your veins (intravenous immunoglobulin) and aspirin. The treatment can help make symptoms less severe and reduce the risk of serious complications. Healthcare professionals may recommend additional treatments. […] Most children recover with proper treatment.

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