Kawasaki Disease

First diagnosed in 1967 by Japanese Dr Tomisaku, Kawasaki,

the Disease is characterized by inflammed blood vessels and lymph nodes and sufferer presents with the following;

The disease affects children under the age of five,rarely affects adults.Although first diagnosed in japan,the disease can be found all over the world.In South Africa the disease seem to be more prevalent in mixed race kids and whites,and mostly affects males.

Causes: Exact cause or causes remain unknown,although thought to be genetic,bacterial,viral,chemical irritants or even environmental causes.

Few cases complicate to dysrythmia,myocarditis,mitral valve regurgitation and death

Management:Pain control and body temperature reduction,anti-inflammatory medications,immunoglobin to boost immunity and rarely surgery,Anti coagulant use,for example,Aspirin is given in low dose.

Nursing care

Empower the family with knowkedge:_Family need to know suspected causes,presentation of disease and its possible complications,treatments and its desired effects or side effects..

Monitor apain level and patients respond to analgesia;pain assesement should include chest pains as this may indicate to heart complications.

Assessment for signs of myocarditis like tarchycardia,gallop heart rhythm,chest pains and heart failure

Monitor intake and output,considering patients specific gravity, weight and skin turgor.

Child to be allowed to alternate activities, and have sufficient rest

Oral care to be done with soft toothbrush, and oral swabs.

Feeding include giving soft food,cool liquids and ice.

Discharge health education include having plenty of water,taking treatment as prescribed, as Aspirin can causes Reye’s syndrome.To mind appointment date.,Echo cardiogram scan can be done to asses heart problems.Aspirin can be stopped if the heart is fine.

Additional information extracted from:Healthline,Health24 websites

Advertisements

Published by

Nurses eBulletin

Nurses eBulletin is a site for nurses;We inform,provide platform for constructive engagement on issues and mutual support.Together in diversity the stronger we stand and progress....