Signs and Symptoms
High fever (lasts more than 5 days).
What is the hallmark symptom of Kawasaki disease?
Kawasaki disease is diagnosed when a fever is present for 5 or more days along with this minimum number of principal features.
What is 4?
This serious cardiac complication involves ballooning of the coronary vessels.
What is a coronary artery aneurysm?
This high-dose therapy is given early to reduce inflammation and prevent coronary artery damage.
What is IVIG (intravenous immunoglobulin)?
The nurse should monitor for signs of this, the most serious cardiac complication.
What is a coronary artery aneurysm?
This part of the body becomes red, swollen, and may peel in the subacute phase of Kawasaki disease.
What are the hands and feet?
This eye sign is required in the diagnostic criteria and occurs without pus or discharge.
What is bilateral non-exudative conjunctivitis?
Kawasaki disease can lead to this type of heart rhythm irregularity.
What is arrhythmia?
Despite its risks in children, this medication is used for its anti-inflammatory and antiplatelet effects.
What is aspirin?
Because aspirin is used, nurses must monitor the child for signs of this dangerous side effect.
What is bleeding?
Children with Kawasaki disease often have this type of rash that can appear on the trunk or extremities.
What is a polymorphous rash?
Red, cracked lips, strawberry tongue, and diffuse redness in the oral cavity make up this diagnostic criterion.
What are oral mucosal changes?
This type of inflammation can occur in the heart and involves the heart muscle.
What is myocarditis?
Aspirin is initially given in high doses for inflammation, then switched to this type of dose.
What is a low-dose (antiplatelet) aspirin?
During the acute phase, nurses should assess for this skin-related symptom to ensure comfort and hygiene.
What is peeling of the skin (especially on hands and feet)?
This eye condition occurs without pus and is a common early symptom of Kawasaki disease.
Children with Kawasaki disease often have this type of rash that can appear on the trunk or extremities.
This skin sign may include swelling, redness, or peeling of the palms and soles.
What are peripheral extremity changes?
This condition, involving fluid around the heart, can develop as a complication.
What is pericardial effusion?
This type of medication may be added if the patient does not respond to IVIG.
What are corticosteroids?
After IVIG administration, this type of immunization should be delayed for 11 months.
What are live vaccines (e.g., MMR, varicella)?
This lymphatic symptom typically appears as a unilateral swelling in the neck.
What is cervical lymphadenopathy?
This type of rash, which can appear anywhere on the body, fulfills one of the diagnostic features.
What is a polymorphous (non-vesicular) rash?
Untreated Kawasaki disease increases the risk of this potentially fatal cardiac event.
What is a myocardial infarction (heart attack)?
Treatment should ideally begin within this timeframe from the onset of fever to reduce heart complications.
What is 10 days?
Nurses should teach parents to report signs of recurrence or complications, especially related to this organ system.
What is the cardiovascular system?