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Concept Map Kawasaki

This document discusses Kawasaki disease, summarizing its predisposing factors, signs and symptoms, complications, laboratory findings, possible nursing diagnoses, and nursing management considerations. Predisposing factors include genetics and race. Signs and symptoms include fever, rash, swollen lymph nodes, and inflammation of mouth, hands, and feet. Complications can include heart problems such as coronary artery aneurysms and heart attacks. Laboratory findings show increased inflammatory markers. Nursing focuses on monitoring for cardiac issues and supporting the patient's comfort through the inflammatory phase.

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Brent John Trasmonte
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1K views6 pages

Concept Map Kawasaki

This document discusses Kawasaki disease, summarizing its predisposing factors, signs and symptoms, complications, laboratory findings, possible nursing diagnoses, and nursing management considerations. Predisposing factors include genetics and race. Signs and symptoms include fever, rash, swollen lymph nodes, and inflammation of mouth, hands, and feet. Complications can include heart problems such as coronary artery aneurysms and heart attacks. Laboratory findings show increased inflammatory markers. Nursing focuses on monitoring for cardiac issues and supporting the patient's comfort through the inflammatory phase.

Uploaded by

Brent John Trasmonte
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd

Predisposing Factors: Precipitating Factors:

* Genetics (Japanese heritage are more affected) * Virus


* Race (blacks are affected slightly more than whites)
* Gender (males are affected more than females 1.6:1)
infection occurs

altered immune function occurs

increase in antibody production

creates circulating immune (antibody-antigen) complexes

bind to the vascular endothelium

cause inflammation

Pericarditis Myocarditis coronary arteries dilate blood vessels, mucus membranes


and lymph nosed in the body
Coronary Artery Aneursyms become inflamed

causes blood to swirl scar tissue will begin increase in size


to form overtime
formation of Coronary rupture of arteries
Artery Thrombosis blood vessel will heal
but not completely normal
blockage of vessel
scarring can lead to
narrowing of blood vessel

Heart Attack
Sudden Death

Laboratory Findings: Possible Nursing Dx:


* chest x-ray may show enlargement of the heart * Risk for decreased cardiac output: structural
(cardiomegaly) changes/ inflammation of coronary arteries and
* an electrocardiogram may show changes in alterations in rate/rhythm or conduction
heartbeat rhythm
* echocardiograms during the course of illness must
be taken Nursing Management:
* Observe for signs of heart failure such as
tachycardia, dyspnea, rales, and edema
* Be alert for chest pain, arrhythmias, and ECG
changes the child might be developing myocarditis

LEGEND:
Complications
Signs & Symptoms
Laboratory Findngs
Possible Nursing Dx
Nursing Management
Signs & Symptoms: Possible Nursing Dx:
* fever for 5 days or more * Pain r/t swelling of lymph nodes
* bilateral congestion of ocular conjunctivae and inflammation of joints
* changes in mucous membranes of the upper * Risk for ineffective peripheral tissue
respiratory tract such as reddened pharynx; red, dry, perfusion r/t inflammation of blood vessels
fissured lips; or protuberance of toungue papillae * Hyperthermia r/t increased metabolic
("strawberry toungue") rate and dehydration
* changes in the peripheral extremities such as peripheral * Impaired skin integrity r/t inflammatory
edema, peripheral erythma, desquamation of palms and process as evidenced by macular rash
soles and desquamation
* rash, primarily truncal and polymorphous lymphadenopathy *Impaired oral mucous membrane r/t
(cervival lymph node swelling (one lymph node > 1.5 cm) inflammatory process, dehydration, and mouth
breathing as evidenced by pain, hyperemia,
and fissured lips

Laboratory Findings: Nursing Management:


* blood tests show a high WBC count, high platelet count, * Monitor vital signs specially the temperature
a high level of protein in the blood serum, and * Check for blood pressure
mild anemia * Inspect extremities for color
* erythrocyte sedimentation rate (ESR) elevated * Palpate for warmth and capillary filling in toes and
and may persist for 4-6 weeks fingers to evaluate peripheral tissue perfusion
* urine may show the presence of pus or an * Carefully monitor and record the intake and output
abnormally high level of protein * Encourage the child to continue brushing his or
her teeth
* Observe for signs of gastrointestinal obstruction,
such as vomiting
* To minimize skin discomfort, cool cloths,
unscented lotions, and soft, loose clothing are helpful
* During the acute phase, mouth care, including, applying
lubricating ointment to the lips, is important, for the
mucosal inflammation
output

e helpful
g, applying
for the

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