Kawasaki Disease

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Acknowledgement

This case study would not be possible without the guidance and the help of several individuals who are in one way or another contributed and extended their valuable assistance in the preparation and completion of this study.

My outmost gratitude to Ms. Maria Donna Duron, the school directress of St. Augustine School of Nursing España for her genuine sincerity and encouragement.

To my adviser Ms. Cecilia J. Sarte for her patiently supervising and assisting us with their knowledge, as we gradually go through the process of doing the case study itself, sincerest thanks.

To my clinical instructor Mr. Joey M. Cadano for all the help and valuable insight he had shared

To my instructor Mr. Paolo M. Zabat and all the faculty staff for their moral support and untiring effort in encouraging us to finish our study.

To my classmates and friends who gave their moral support and help all the way despite the busy schedules in preparing their own case study.

To my family for supporting me all the way, providing me with everything I need financially and emotionally.

Last but not the least, to our Almighty Father for his unceasing guidance and blessings, for constantly giving me hope, courage and patience. Truly none of this is possible without you.

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Table of Contents

TitlePage Number
I. Acknowledgementii
II.Objectiveiv
III. Introduction
a. Definition1
b. Incidence1
c. Etiology2
d. Manifestations and Complications2
IV. Anatomy and Physiology3
V. Pathophysiology6
VI. Patient’s Profile
a. Biographical Data7
b. Chief Complaint7
c. History of Present Illness7
d. Medical History8
e. Family History8
VII. Laboratory Findings9
VIII. Physical Assessment11
IX. Nursing Care Plan15
X. Drug Study20
XI. Discharge Plan23

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II. Objectives

General:

The objective of my case study is to develop and acquire understanding, skills, and knowledge about the disease, and health promotion to prevent further complication on the condition of the patient.

Specific:
Nurse Centered

➢ Assess the patient’s overall health status
➢ Impart necessary health teachings to the patient
➢ Perform appropriate nursing care in conjunction with the condition of the patient ➢ Widen and enhance the student nurses’ knowledge and skills through additional research about the nature of the disease, its signs and symptoms, its pathophysiology, its diagnosis and treatment.

Patient Centered

➢ Know when to seek help from the health care providers whenever the signs and symptoms may appear ➢ Understand the occurrence of Kawasaki Disease
➢ Know what other complications may arise, if left untreated ➢ Gather information about the therapeutic regimen

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III. Introduction
Definition

Kawasaki Disease (mucocutaneous lymph node syndrome) is a form of vasculitis identified by an acute febrile illness with multiple systems affected. The cause is unknown, but autoimmunity, infection, and genetic predisposition are believed to be involved. It affects mostly children between ages 3 months and 8 years; 80% are younger than age 5. It occurs more commonly in Japanese children or those of Japanese decent. It has seasonal epidemics, usually in late winter and early spring. It was first described in 1967 by Dr. Tomisaku Kawasaki in Japan.

Kawasaki Disease mainly affects the blood vessels, including coronary arteries. Blood vessels throughout the body get inflamed, and the most serious that could happen is on the heart. If left untreated after 10 days, children may have a higher risk to develop heart problems.

Kawasaki Disease manifests in three phases:...
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