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NU403 Exam 6 Latest Update
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NU403 Exam 6 Latest UpdateKawasaki Disease - Answer Acute systemic inflammatory illness
Leading cause of ACQUIRED heart disease often preceded by respiratory infection
Affects arteries- specifically coronary arteries leading to aneurysm and MI
Kawasaki Disease manifestation - Answer Strawberry tongue, desquamation of the skin,
red dry chapped lips, conjunctivitis, swollen hands, feet, nodes, joint pain.
Kawasaki Disease Diagnostic Criteria - Answer MUST have fever over 102.2 for 5 days
or longer AND
four of the five principal features:
1. Changes in extremities
2. Changes in the lips & oral cavity
3. Bilateral conjunctival redness without exudate
4. Erythematous maculopapular rash
5. Cervical lymphadenopathy > 1.5 CM
LABS: Elevated ESR, WBC, platelets, C-reactive protein, mild anemia & thrombocytosis
Severe headache or Abdominal pain may indicate coronary artery damage or an
aneurysm
What are the 3 phases of Kawasaki Disease? - Answer - Acute- Fever, irritability,
conjunctival hyperemia, red throat, strawberry tongue, swollen hands & feet, rash on
the trunk, cervical lymph node enlargement, diarrhea, & hepatic dysfunction
- Subacute- Cracking lips & fissures, desquamation of the tips of fingers & toes, joint
pain, cardiac disease, & thrombocytosis
- Convalescent- Appears normal, but may have lingering signs of inflammation.
Abdominal pain, paralytic ileus, diarrhea, vomiting, dysuria, aseptic meningitis, &
arthritis.
Treatment for Kawasaki disease - Answer IVIG (intravenous immunoglobulin)
Aspirin
Coumadin (used in aneurysms > 8mm)
NOTE: do not give live vaccines for 11 months after IVIG
Kawasaki Disease nursing considerations - Answer Assessment (heart rate full minute)
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