NUR 212 U3 Perfusion Pt 3- Kawasaki Disease Fall 2024 PDF

NUR 212 Unit 3: Perfusion Pt. 3- Kawasaki Disease Kawasaki Disease Rare but serious condition that primary effects children. Inflammation of blood vessels Leads to wide range of symptoms Has significant complications Early diagnosis and treatment Patho...

NUR 212 Unit 3: Perfusion Pt. 3- Kawasaki Disease Kawasaki Disease Rare but serious condition that primary effects children. Inflammation of blood vessels Leads to wide range of symptoms Has significant complications Early diagnosis and treatment Pathophysiology C omplex im mun e respo nse leading t o w idespr ead inf lammat ion U nkno wn etio log y- but po ten tially genet ic an d /o r env iro nm ent al fact o rs  Clinical Manifestations/ Diagnosis N o s pe c i f i c t e s t s Based on cl inical f indings M us t h a ve Fe v er f o r 5 d ay s p l u s 4 / 5 ad d i t i o n a l s y m pt o m s O c c ur s i n t h r ee p h a s es : ▪ Ac u t e ▪ Subacute ▪ C o nv a l es c e n t  C a rd i ac I n v o l v e me n t Lo n g - Te r m C om pl i ca t io ns C or o n a r y A r t e r y A ne u r y s m s ▪ Re st ri ct s bl oo d f lo w ▪ C a n l e a d to M I ▪ Re co m m e n d E c h oc a r di og r am s Therapeutic Management High-Dose IVIG with Salicylate therapy Aspirin Antithrombotic medications Prognosis based on cardiovascular involvement  Nursing Man agement Monitor Cardiac Status​ Administer IVIG​ Symptom Relief​ Irritability & Mood Swing Management  Discharge Education Course of illness Irritability Periungual desquamation Temporary arthritis Live Immunizations Daily temps Aneurysms Long-term Follow- Up  Nursing Diagnoses (Risk for) Decreased Impaired Ski n Integrity Cardi ac Output Al tered Nutri tion: Less Hyperthermia Than Body Requirements Ineffective Tissue Anxiety Perfusi on Knowledge Defi cit Risk for Infection Impaired Social Acute Pai n Interaction (Risk for) Flui d Volume Ineffective Coping Defi cit QUIZ  References A d am s , M. , H o ll a n d, N. , & Ur b an , C. ( 2 02 0 ). D ru g s f or h ea r t f a i lu r e. P h a r m a c ol o g y f o r N u r se s : A P a th op h y s i ol o g i c Ap p r o a c h , ( 6 th e d. , p p. 3 7 2 - 3 8 6 ). Pe ar s o n. I g n at a v ic i u s. D. D. , Wo r km a n , M. L. , & Reb ar, C. R. ( 20 2 1 ). A s s e s s m en t o f t h e c ar di ov as c u la r s ys t e m. I n N.M. H e im g ar t ne r ( ed.) , Me d ic al - s u rg ic a l n u r s i n g: C on c e p t s f o r i n t e r pr of es s i on a l c o l l a bo r a t i v e c a r e ( 1 0 th e d. , p p. 6 1 1 - 63 4). E ls e vi er. I g n at a v ic i u s. D. D. , Wo r km a n , M. L. , & Reb ar, C. R. ( 20 2 1 ). Con ce p t s o f c ar e f o r pa t ie nt s w i t h c ar d ia c pr obl e m s. I n N.M. H e im g ar t ne r ( ed.) , Me d ic al - s u r g i c a l n u r s i n g : C o n c e pt s f o r i n t e r pr of es s i on a l c o l l a bo r a t i v e c a r e ( 1 0 th e d. , pp. 665 - 696 ). E l s evi e r. H a r d i n g , M. M. , K w o n g , J. , H a g l e r, D. , & R e i n i s c h , C. ( 2 0 2 3 ). L e w i s ' s me d i c a l - s u r g i c a l n u r s i n g : A s se s s me n t a nd ma n a ge m e n t of c l i n i c a l p r o b l e m s ( 1 2 t h e d. ). E l s e v i e r. P e r r y, S. E. , L o w d e r m i l k , D. L. , A l d e n , K. R. , O l s h a n s k y , E. F. , & H o c k e n b e r r y , M. J. ( 2 022 ). C ar di o v as c u la r dy s f u n c t i on. I n M. J. H o cke n b e rr y (e d. ) , M a t e r n a l c h i l d n ur s i n g c a r e ( 7t h e d. , pp. 1 222 - 1 2 6 3 ). E l s ev ie r. THANK YOU!