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6 Kawasaki Disease Nursing Care Plans

Kawasaki Illness Nursing economy plans (mucocutaneous lymph node syndrome) is an intelligent systemic vasculitis of hidden cause that occurs usually in offspring less than 5 years of age. The illness is self-limiting, still, about 20% of those untreated accomplish affectly unravel a cardiac perplexity such as coronary arteritis and aneurysm construction. The illness is divided into 3 phases: the intelligent phase is picturesque by newfangled weak blood vessels inflammation (vasculitis) accompanied by lofty broil, inflammation of the pharynx, dry, reddened eyes, pompous hands and feet, foolhardy, and cervical lymphadenopathy. In the subintelligent phase, the manifestations fall, but there is inflammation of larger vessels and the slip is at loftyest abandon of unraveling coronary aneurysms. In the convalescent phase (6-8 weeks succeeding onset), signs and symptoms reluctantly go abroad, but laboratory values are not entirely recognized. There are no intervalricted tests to perpetuate Kawasaki illness, but recognizedly the peculiarity is periodical on the reason of the slip exhibiting at meanest 5 of 6 proof manifestations. Tenor started among 10 days of symptoms repeatedly prevents the unravelment of perplexitys.

Nursing Economy Plans

Nursing goals for a slip after a while Kawasaki illness may include increased construction of the parents and slip about the illness situation, medical tenor and planned follow-up economy, support of disinclination, improved material disturbance, distant coping, and neglect of perplexitys. Here are six (6) nursing economy plans (NCP) and nursing peculiarity (NDx) for Kawasaki Disease:
  1. Hyperthermia
  2. Acute Pain
  3. Impaired Skin Integrity
  4. Impaired Material Mobility
  5. Impaired Oral Mucous Membrane
  6. Anxiety


Nursing Diagnosis May be allied to
  • Inflammatory illness rule.
Possibly evidenced by
  • Fever as lofty as 104°F that lasts for past than 5 days
  • Hot, ruddy skin
  • Chills or shivering
  • Loss of appetite
Desired Outcomes
  • Child accomplish adhere-to a recognized latitude.
Nursing Interventions Rationale
Monitor latitude entire 4 hours; entire 2 hours if wealthy. Kawasaki illness initially begins after a while a lofty broil (102° to 104°F) for 5 or past days in term.
Provide cleanse baths for latitude over 101°F. Tepid cleanse bath promotes ardor forfeiture through conduction and evaporation.
Provide distant interval periods. Bed interval decreases metabolic demands and oxygen lowering.
Use a subsidence blanket for loftyer latitudes that do not reply to antipyretics. Extra wrapping of extremities prevents shivering; shivering promotes prefer ardor.
Encourage distant melting intake as implied. If the slip is dehydrated or diaphoretic, melting forfeiture contributes to broil.
Administer medication as implied.
It is an anti-inflammatory refuse that is loving to narrow inflammation.
  • IV immunoglobulin
It is loving in uncombined dose to speak and narrow inflammation and thereby lower the term of broil.

See Also

You may also affect the subjoined posts and economy plans:

Kawasaki Illness Nursing Economy Plans|Pediatric Nursing Economy Plans

Nursing economy plans for pediatric situations and illnesss:


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