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12 Cards in this Set
- Front
- Back
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Kawasaki disease or mucocutanous lymph node syndrome |
cuases systemic vasculitis most children who contract the illness are younger then 5 and 80% are younger then 2. |
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Kawasaki |
the subsequent cascade of antigen and antibody response and inflammatory mediators causes organ inflammation and preferentially target the coronary arteries coronary damahe and giant aneurysms can develop in treated patients |
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Signs |
strawberry tongue rash maculopapular rash skin peeling |
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labs |
cbc to confirm increase in platelet counts increase is ESR increase in CRP INcrease in WBC |
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Kawasaki treatment |
aspirin= decrease inflammation, pain, anticoag S/S NI, PT increased IG - Iv- usually first does is enough - given over many hours may require second in fever persist |
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salicylate therapy |
high doses |
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management |
cardiac status- oral/iv fluids I/o prepare for ecto eval WOB, tachycardia, decrease in u/o pulses report anything - fever
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family teaching |
Tylenol as ordered cool clothes as tolerated quiet environment to reduce irrability teach iriability to parents because of disease- can last 2 months petroleum jelly to cracked lips ice chips- older child popsicles and cool rag to younger comfortable position because of joint paint
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family teaching |
monitor temp after discharge toxic effects of aspirin avoid nsaids avoid measles and varcilla vaccine for 11months compliant with f/u cardiology apts
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goal |
prevent damage to coronary artery reduce myocardial tissue inflammation and blood clots |
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ectocardiogram |
initial - then serial to see if better and damage later and throughout life |
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aspirin |
benefits outweigh the risks only thing known to help besides igs. |
