A Reading On: Kawasaki Disease

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A Reading on

KAWASAKI DISEASE

In Partial Fulfillment of the


Requirements in NCM 209– RLE
PEDIATRIC NURSING ROTATION

Submitted to:
Mrs. Kristine Grace Martije, RN
Clinical Instructor

Submitted by:
Raijenne C. Versola, St.N

January 23, 2021


Title: Kawasaki Disease in Infants & Young Children
Bibliography:
American Academy of Pediatrics. (2020, May 13). Kawasaki Disease in
Infants & Young Children. Retrieved January 21, 2021 from
https://www.healthychildren.org/English/health
issues/conditions/heart/Pages/Kawasaki-Disease.aspx
Summary:
Kawasaki disease is the leading cause of acquired heart disease in infants
and young children. It commonly affects children aging below 5 years old and older
than 6 months. It is less common for older children and adolescents but does not
guarantee that they do not get the disease. In addition, this condition causes
inflammation in the blood vessels. This disease begins with a fever above 102
degrees F that lasts for at least five days. Aside from having fever, symptoms may
develop such as rash on the body; swollen n eck glands; swollen hands and feet
with redness on the palms of the hands and the soles of the feet; red, bloodshot
eyes without pus, drainage, or crusting; very red, swollen, and cracked lips;
strawberry-like tongue with rough, red spots. It will also be observed that the child
is irritable and fussy. Peeling of fingers and toes is also noticeable. However, these
signs and symptoms may not be present as always. Other non -specific symptoms
may also be present, such as vomiting, diarrhea, stomachache, cough, runny
nose, headache, or pain or swelling of the joints.
Complications may arise if left untreated. It can cause serious complications
such as inflammation of the blood vessels which is particularly dangerous because
it will affect the coronary arteries cau sing coronary artery aneurysms to develop.
Fortunately, treatment within the first 10 days of the illness decreases the risk of
aneurysms. That is why treatment should begin as soon as possible. Moreover,
the medication used for treatment is called Intravenous Immunoglobulin or IVIG. It
is given through a vein over 8 to 12 hours. After completing the dosage, the patient
must still remain in the hospital to make sure that the fever does not return and
other symptoms will improve. They may also be given aspirin to lower the risk of
heart problems. And if IVIG does not respond very well, they may be
recommended to have additional treatments that fight inflammation.
After being treated, children are sent home from the hospital with a low dose
of aspirin to take by mouth. While being on recovery, it is not uncommon for these
children to be seen tired or off for several weeks. Letting them rest is a must.
Peeling of skin on hands and feet is expected and is not cause for alarm.
Nevertheless, call the doctor right away if fever and other symptoms return.
Furthermore, the cause of this disease is still unknown but is thought to be
a reaction by the body's immune system. It is not contagious nor spread among
family members or children in child care.
Lastly, it is very important to closely monitor the children to be able to make
sure that their condition is improving. Also, live viral vaccines should be postponed
at least 11 months after IVIG because it can cause the vaccines to be ineffective.
It is also important to follow a healthy diet and lifestyle and have follow-up visits to
their respective doctors.

Reactions:
Overall, this article was well-written by the American Academy of Pediatrics
and I agree with it because they have included the description of the disease,
discussed thoroughly the signs and symptoms, gave what is the treatment and
how it helps the body of the patient and lastly, they also included what to do and
expect during recovery period. Upon learning this disease, I had realized that it is
not contagious to others but very dangerous to the patient when left untreated as
it will cause serious complications. This type of disease shou ld be taken seriously.
Parents should not ignore the signs and symptoms especially when the child is
having a fever for more than 5 days. They must go to the nearest hospital or see
a doctor for a check-up.
In addition, this article would be a big help to everyone who are able to
research and read about this disease. As student nurses, we have to understand
the disease, medication and procedure so we can give proper health teachings to
the patient and their family. Besides, it will help us consider and observe the signs
and symptoms upon assessment of the patient.

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