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7/23/2019 NURSING CASE STUDY: Kawasaki Disease
http://slidepdf.com/reader/full/nursing-case-study-kawasaki-disease 1/33
FMMC DGEEHJH GN TGXV@HRI [@LEL[[LIHT
Dgeehjh gn Ixrtlij
Vljcvvg Rgcf% Bx`cijli Fc~cg Dlv|
Li [crvlce Nxenleemhiv gn v`h Dgxrth Rhsxlrhmhivt
Li Ixrtlij Dcrh Mcicjhmhiv 3;6
Rhecvhf Ehcrilij Hp{hrlhidh
R'G Oczctcol Flthcth
Mxdgdxvcihgxt E|m{` Igfh T|ifrgmh
[rhthivhf vg1
6v` |hcr eh~he delildce litvrxdvgrt gn FMMC Dgeehjh gn Tgxv`hri [`lel{{liht
[rhthivhf b|1Dcjcb`lgi% Agciic Mch% C{xrcfc%Lijrlf Ocvrlic
[cfleec%D`xdo| Cijheg% Crh~ceg%@ciihel Mch
Ncedg%Jrcdhe|i Ag|% Dxbhrg%Hefhi Ag|%Mcrvli%Agcil Aghe% Bhrmg|%Negrlfhe%
Dcexbci%Elelbhv`% Exmctcj%Mcro%
Dceecr%Agiic
7/23/2019 NURSING CASE STUDY: Kawasaki Disease
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LIVRGFXDVLGI
Gxr `xmci bgf| lt c ~hr| dgm{ehp t|tvhm) Gih nxidvlgit ngr v`h bhihnlv cif gr hp{hith gn
cigv`hr) Gxr txbt|tvhm lt c ~lvce ct v`h gv`hr v`xt v`h| crh livhrrhecvhf) Dgitlfhrlij v`lt ncdv% zh
`c~h eggohf livg v`h rhcelv| v`cv li v`lt fl~hrth {`|tlgegjldce zgifhr elht v`h linlilvh {gttlblelv| gn
igv gie| g{vlmxm nxidvlgilij bxv gn flt{crlvlht cif fh~lcvlgit ct zhee)
Li elnh% gih dgivlixht vg hpltv li gbel~lgi) V`hrh crh cezc|t xidhrvclivlht li h~hr| h~hivt
cif gddxrrhidht z`lre v`rgxj` gxr el~ht) Zh fg igv oigz z`hi lt v`h hpcdv {gliv li vlmh z`hrh
gxr bgfle| `gmhgtvctlt zlee bh fltvxrbhf cif z`hi d`cijh zlee dhcth vg `c{{hi) Tgmh gn v`h
txr{rltlij d`cijht dci bh dgitlfhrhf behttlijt bxv mgtv v`h vlmh v`h| crh zh nhr~hive| `g{h zgxef
igv gddxr ht{hdlcee| v`gth v`cv dgidhri gxr `hcev`)
Li v`lt {crvldxecr dcth tvxf|% zh zlt` vg {rhthiv v`h dcth gn gxr {cvlhiv% C)O)C) Bcb| Acmht
gn Rgpct Hpvhitlgi% Fljgt Dlv|) @h zct cfmlvvhf cv Mhfldce Dhivhr gn Fljgt Dgg{hrcvl~h ngr v`h
rhctgi gn `lj` nh~hr zlv` v`h cfmlvvlij flcjigtlt1 CV[ v'd Oczctcol Flthcth)
Oczctcol flthcth (mxdgdxvcihgxt e|m{` igfh t|ifrgmh, lt c ngrm gn ~ctdxelvlt lfhivlnlhf
b| ci cdxvh nhbrleh leeihtt zlv` mxevl{eh t|tvhmt cnnhdvhf) V`h dcxth lt xioigzi% bxv
cxvglmmxilv|% linhdvlgi% cif jhihvld {rhflt{gtlvlgi crh bhelh~hf vg bh li~ge~hf) Lv cnnhdvt mgtve|
d`lefrhi bhvzhhi cjht 4 mgiv`t cif 0 |hcrt? 0; crh |gxijhr v`ci cjh 8) Lv gddxrt mgrh
dgmmgie| li Ac{cihth d`lefrhi gr v`gth gn Ac{cihth fhdhiv) Lv `ct thctgice h{lfhmldt% xtxcee| li
ecvh zlivhr cif hcre| t{rlij) Lv zct nlrtv fhtdrlbhf li 3<>: b| Fr) Vgmltcox Oczctcol li Ac{ci)
Cev`gxj` Oczctcol flthcth lt c mxevlt|tvhm flthcth% v`h dcrflg~ctdxecr t|tvhm c{{hcrt vg
bh v`h {rlmcr| tlvh zlv` dgrgicr| crvhr| ~ctdxelvlt% cihxr|tm fh~heg{mhiv% v`rgmbgtlt% cif
m|gdcrflce v`rgmbgtlt {rgjrhttlij g~hr fc|t vg zhhot) C{{rgplmcvhe| 38 vg 28 gn {cvlhivt
7/23/2019 NURSING CASE STUDY: Kawasaki Disease
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fh~heg{ dcrflcd dgm{eldcvlgit (dgrgicr| v`rgmbgtlt gr rx{vxrh% m|gdcrflce lincrdvlgi% `hcrv
nclexrh% ~ctdxelvlt gn v`h cgrvc gr {hrl{`hrce crvhrlht,? `gzh~hr mgrvcelv| lt egz)
Ixrtht {ec| c tljilnldciv rgeh li v`h mcicjhmhiv cif dcrh gn {cvlhiv zlv` dgiflvlgit txd`
ct v`lt) Zh {ec| ci htthivlce {crv li t|m{vgm mcicjhmhiv cttgdlcvhf zlv` v`h flthcth cif v`h
v`hrc{|) Zh elohzlth ngrm {crv li v`h {cvlhiv“t tx{{grv t|tvhm% z`ld` lt dgitlfhrcbe| c ncdvgr v`cv
`ct ci lmmhith hnnhdv gi v`h dxrh cif rhdg~hr| gn v`lt v|{h gn flthcth) Li v`h {cvlhiv“t `hcev` dcrh
mcicjhmhiv ct c z`geh% zh ixrtht crh eloh c tggv`lij bcem vg v`hlr ihhft)
V`lt dcth tvxf| lt mhcilijnxee| fhtljihf vg {rg~lfh czcrhihtt cif v`grgxj` hp{ecicvlgi vg
gih gn v`h rcrhtv flthctht v`cv gddxr li gxr dgxivr|) Gxr {rhthivcvlgi clmt vg rhdgjilqh v`h ihhf gn
v`h {hg{eh vg xifhrtvcif v`h dgxrth gn v`lt flthcth) Zh `c~h ctthiv v`h lm{eldcvlgi gn v`lt rhthcrd`
v`cv lv mc| hidgxrcjh ohhiihtt cif bh c tgxrdh gn lingrmcvlgi vg c ixmbhr gn {hg{eh% z`g rhmclit
icç~h vg v`lt bgfle| linlrmlv|) Mc| v`lt ihz mhcit gn ehcrilij bh c ~cexcbeh ngxiv gn ~lvce
lingrmcvlgi vg {hg{eh z`g zlt` vg tvxf| v`h tcmh flthcth)
[hg{eh t`gxefi“v vcoh Oczctcol Flthcth `lfhgxte| mgrh tg vg v`gth z`g crh dgidhrihf
bhdcxth mcicjhmhiv lt v`h oh|) Li elnh% `xrfeht cif `xm{t crh t{rc|hf vg vhtv xt) Lv vcoht
rhdgjilvlgi cif cddh{vcidh v`cv h~hi gxr cicvgmldce cif {`|tlgegjldce nhcvxrht? Jgf“t d`lthe lt
t`c{lij xt vg bh tljilnldciv lifl~lfxce mgefhf b| {cli cif tvrhijv`) V`lt tvxf| fght igv gie|
{rg~lfh gxr rhcfhrt gn mhfldce lingrmcvlgi bxv gn c d`ceehijh cif dgxrth gn `geltvld t{hdvcdeh ct
zhee)
7/23/2019 NURSING CASE STUDY: Kawasaki Disease
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GBAHDVL^HT
Jhihrce Gbahdvl~ht1
V`cv zlv`li gxr v`rhh zhhot zcrf hp{gtxrh (MMJ@% FC@% MDFD,% zh mc| bh cbeh vg
d`ggth c dcth tvxf| v`cv zlee dgivrlbxvh cif hp{cif gxr oigzehfjh cif lm{rg~h gxr toleet gi
t{hdlnld {rgdhfxrht)
Gxr jrgx{ `ct ngrmxecvhf v`h ngeegzlij T{hdlnld Gbahdvl~ht vg jxlfh xt vgzcrft v`h
dgm{ehvlgi gn v`lt dcth tvxf|) V`cv zlv`li gxr v`rhh zhhot zcrf hp{gtxrh (MMJ@% FC@%
MDFD,% zh mc| bh cbeh vg1
Thehdv c rheh~civ txbahdv ngr gxr dcth tvxf|?
Htvcbelt` jggf livhr{hrtgice cif {rgnhttlgice rhecvlgit`l{ zlv` gxr {cvlhiv cif `lt
cddgm{ci|lij ncmle| mhmbhr?
Ngrmxecvh ci livrgfxdvlgi v`cv dci {rhthiv c dgidlth g~hr~lhz gn v`h dcth tvxf|?
Lfhivln| lvt dgivrlbxvlgi li v`h nlheft gn ixrtlij hfxdcvlgi% {rcdvldh% cif rhthcrd`?
Ngrmxecvh t{hdlnld% mhctxrcbeh% cvvclicbeh% rhceltvld cif vlmh bgxifhf gbahdvl~ht
v`cv zlee thr~h ct c jxlfh ngr v`h cddgm{elt`mhiv gn v`lt tvxf|?
Dgeehdv fcvc rhjcrflij v`h {ctv cif {rhthiv `hcev` `ltvgr| gn gxr {cvlhiv?
Ctthtt gxr {cvlhiv li c dh{`cegdcxfce flrhdvlgi vg thr~h ct gxr bcthelih fcvc li
fhvhrmlilij v`h d`cijht li {cvlhiv“t bgf|?
Fhvhrmlih cif fltdxtt v`h cicvgm| cif {`|tlgegj| gn v`h bgf| t|tvhmt li~ge~hf%
Lfhivln| v`h {rhflt{gtlij cif {rhdl{lvcvlij ncdvgrt v`cv dgivrlbxvh vg v`h githv gn v`h
flthcth?
Vrcdh v`h {cv`g{`|tlgegj| gn v`h flthcth {rgdhtt?
Eltv v`h cdvxce cif {gttlbeh t|m{vgmt v`cv gxr {cvlhiv m| mcilnhtv?
7/23/2019 NURSING CASE STUDY: Kawasaki Disease
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Tvxf| cif rhecvh v`h tljilnldcidh gn v`h flcjigtvld hpcmlicvlgit fgih?
Rhthcrd` gi v`h frxj tvxf| gn v`h mhfldcvlgi jl~hi vg gxr {cvlhiv?
Hixmhrcvh v`h cdvxce cif {gttlbeh mhfldce cif ixrtlij mcicjhmhiv rhifhrhf?
Ngrmxecvh hnnhdvl~h ixrtlij dcrh {eci zlv` v`rhh cdvxce {rgbehmt cif vzg `lj` rltot
{rgbehmt?
T`crh gxr oigzehfjh cif toleet vg gxr d`gthi {cvlhiv?
Zgro vgjhv`hr zlv` v`h `hcev` vhcm {rg~lflij dgivlixgxt dcrh?
[rg~lfh tljilnldciv `hcev` vhcd`lijt v`cv zgxef {rgmgvh gxr {cvlhiv“t `hcev` cif
zheeihtt? cif
Eltv cee v`h rhnhrhidht xthf li v`h tvxf|)
7/23/2019 NURSING CASE STUDY: Kawasaki Disease
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[CVLHIV“T FCVC
Icmh1 C)O)C) Bcb| Acmht
Blrv` fcvh1 Acixcr| 24% 2;;0
Cjh1 3 ½ |hcr gef
Thp1 Mceh
Blrv`{ecdh1 Fljgt Dlv| (MDFD,
Cffrhtt1 Rgpct Hpvhitlgi% Fljgt Dlv|
Dl~le Tvcvxt1 I'C
Rheljlgi1 Rgmci Dcv`geld
Icvlgicelv|1 Nlel{lig
Hfxdcvlgice Cvvclimhiv1 I'C
Icmh gn Ncv`hr1 @hrmgjhiht
Cjh1 8; |hcrt gef
Gddx{cvlgi1 [I[-T[G4
Icmh gn Mgv`hr1 Dgrcqgi
Cjh1 66 |hcrt gef
Gddx{cvlgi1 @gxth zlnh
Tlbelijt1 [rlidhtt Cahttc-23 |hcrt gef
[rlidh Agt`xc-36 |hcrt gef
[rlidh Jcbrlhe-8 |hcrt gef
Rggm Ixmbhr1 Rggm 343
Zcrf1 [rl~cvh Tvcvlgi 3
Flcjiltgt1 CV[ v'd Oczctcol Flthcth
Cvvhiflij [`|tldlci1 Fr) ^leehjct
Fcvh gn Cfmlttlgi1 Cxjxtv 32% 2;;<
Vlmh gn Cfmlttlgi1 3;128 CM
7/23/2019 NURSING CASE STUDY: Kawasaki Disease
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@HCEV@ @LTVGR\
Ncmle| @hcev` @ltvgr|
Ngr v`h {cvhrice tlfh% v`h jrcif ncv`hr flhf bhdcxth gn gef cjh cif v`h jrcif mgv`hr flhf
bhdcxth gn v`rgcv dcidhr) Ngr v`h mcvhrice tlfh% v`h jrcif ncv`hr lt tvlee cel~h bxv lt `c~lij `lj`
beggf {rhttxrh cif v`h jrcif mgv̀ hr flhf bhdcxth gn {rgtvcvh dcidhr)
Gxr delhiv“t mgv`hr% Dgrcqgi `ct ig `ltvgr| gn d`rgild flthctht bxv t`h lt eljcvhf) Gi v`h
gv`hr `cif% `lt ncv`hr% @hrmgjhiht lt `c~lij `lj` beggf {rhttxrh)
V`h vzg tltvhrt gn Dgrcqgi txnnhrhf {rgbehmt gn v`h xvhrxt) Vhrhtlvc xifhrjgih cerhcf|
VC@BTG cif `ct d`gehehv`lctlt) Cetg% Elbhrv| zct fhvhdvhf vg `c~h vxmgr li v`h xvhrxt) Dgrcqgi
v`h mgv`hr gn gxr delhiv lt ngrvxicvh bhdcxth cmgij v`h v`rhh gn v`hm t`h flfi“v hp{hrlhidh ci|
{rgbehm li v`h xvhrxt) Xingrvxicvhe|% `hr vzg tltvhrt zhrh igv cbeh vg bhcr c d`lef fxh vg txd`
{rgbehm)
V`h ngxr tltvhrt cif 2 brgv`hrt gn @hrmgjhiht (ncv`hr gn bcb| acmht, crh txnnhrlij nrgm
Flcbhvht Mleehvxt) V`h brgv`hr gn @hrmgjhiht% Nheldlcig xifhrjgih olfih| vrcit{eciv)
[ctv @hcev` @ltvgr|
Bcb| Acmht% bgri ~lc dchtcrlci thdvlgi fhel~hr| zlv` c zhlj`v gn :3 {gxift% b| `hr 64
|hcrt gef mgv`hr) @lt {crhivt% rhcelqlij v`h htthidh gn `c~lij c nlrtv elih fhnhith li v`h ngrm gn
lmmxilqcvlgi% {rg~lfhf `hr cee v`cv lt lih~lvcbeh1
BDJ-3
F[V-4
G[^-4
Mhcteht-2
@lb-4
@h{cvlvlt B-4
7/23/2019 NURSING CASE STUDY: Kawasaki Disease
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Ctlfh nrgm `lt {rhthiv {rgbehm% bcb| Acmht zct cfmlvvhf ectv Fhdhmbhr 6% 2;;0 cv
Mhfldce Dhivhr gn Fljgt Fxh vg dgxj`)
Bcb| Acmht lt igv ceehrjld vg ci| nggf% frxj% txbtvcidht gr h~hi hi~lrgimhivce ceehrjlht)
Tg ncr% `h lt igv hp{hrlhidlij d`lef`ggf leeihttht txd` ct mhcteht% mxm{t% rxbheec% d`ldohi {gp%
hvd) @h flfi“v xifhrjg vg ci| txrjhrlht) @h flfi“v hp{hrlhidh ci| thrlgxt cddlfhivt gr ci| liaxrlht)
[rhthiv @hcev` @ltvgr|
[rhthiv dgm{ecliv gn Bcb| Acmht z`ld` lt Nh~hr tvcrvhf 3 zhho [VC) [rlgr vg cfmlttlgi%
githv gn nh~hr rcijht cv 40-4<D zlv`gxv dgeft gr dgxj`) Mgv`hr igvldhf rct`ht gi v`h cbfgmhi cif
v`h delhiv“t el{t crh drcdolij) Cv v`h `hlj`v gn v`h nh~hr% delhiv hp{hrlhidhf thlqxrh v`xt {rgm{v
cfmlttlgi) Gxr delhiv zct cfmlvvhf gi Cxjxtv 32% 2;;< xifhr v`h tx{hr~ltlgi gn Fr) ^leehjct) Fxh
vg `hr {rhthiv dgm{ecliv cif ctthttmhiv mcfh b| `lt C[% v`h nlrtv lm{rhttlgi gn Fr) zct Cdxvh
Vgitleg [`cr|ijlvlt v'd Oczctcol Flthcth)
[@\TLDCE CTTHTTMHIV
7/23/2019 NURSING CASE STUDY: Kawasaki Disease
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Icmh1 Bcb| Acmht
Cjh1 3 ½ |hcr gef
Thp1 Mceh
Fh{crvmhiv1 Zcrf-[rl~cvh Tvcvlgi 3
Fp1 CV[ v'd Oczctcol Flthcth)
Cvvhiflij [`|tldlci1 Fr) ^leehjct
Fcvh cif vlmh gn Ctthttmhiv1 Cxjxtv 30% 2;;<% 61;; [M
JHIHRCE TXR^H\
Rhdhl~hf {cvlhiv e|lij gi bhf% czcoh cif rht{gitl~h% igv li ci| rht{lrcvgr| fltvrhtt) Zlv`
L^N gn F8LMB 8;; dd cv rlj`v crm cv >;dd'`r) V`h {cvlhiv mhctxrht 4 nhhv li `hlj`v) @h c{{hcrt vg
bh igrmce zlv`gxv ci| tljit gn fltvrhtt) Fxrlij ctthttmhiv% `h lt dgitdlgxt% dg`hrhiv% cif grlhivhf
x{gi lisxlr|)
^LVCE TLJIT
[cvlhiv `ct vhm{hrcvxrh gn 4>): fhjrhht dhedlxt% cpleecr|% zlv` rhjxecr `hcrv rcvh (@R, gn
323 bhcvt {hr mlixvh% rhjxecr {xeth rcvh ([R, gn 32; bhcvt {hr mlixvh? rhjxecr rht{lrcvgr| rcvh (RR,
gn 42 brhcv`t {hr mlixvh)
TOLI
V`h {cvlhiv“t toli lt nclr% zcrm% cif telj`ve| mgltv) Lv cttxmht t`c{h cnvhr bhlij {ldohf x{
b| vzg nlijhrt v`xt% lifldcvlij jggf toli vxrjgr) Mlilmce rct`ht crh thhi cv v`h cbfgmhi crhc)
Rct`ht igvhf vg bh hr|v`hmcvgxt mcdxeg{c{xecr)
@HCF
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V`h `hcf“t dginljxrcvlgi lt igrmgdh{`celd zlv` ig ehtlgit gr vhifhrihtt igvhf) [cvlhiv“t
`clr cttxmht v`h dgegr becdo cif lt gbthr~hf vg bh nlih li dgitltvhid| cif tgnv li vhpvxrh) V`h tdce{
lt dehci zlv` ig {rhtdhidh gn zgxift% tdcrt% gr ehtlgit) [cvlhiv `ct t|mmhvrldce ncdlce mg~hmhiv
cif lt cbeh vg heh~cvh h|hbrgzt% nrgzi% degth h|helft vlj`ve|% cif tmleh)
H\HT
V`h delhiv“t h|helft cif h|hbrgzt crh t|mmhvrldce li celjimhiv cif mg~hmhiv? v`h
h|hect`ht crh telj`ve| dxrehf gxvzcrf) Igvhf vg `c~h blecvhrce bxebcr igi{xrxehiv dgiaxidvl~lvlt)
[x{let crh becdo li dgegr% hsxce li tlqh cif crh brlto z`hi rhcdvlij vg elj`v) Elf mcrjlit crh dehcr%
mecdrlmce fxdv g{hilijt crh h~lfhiv cv v`h ictce tlfh gn v`h x{{hr cif egzhr elft)
HCRT
Cxrldeht `c~h v`h tcmh dgegr ct v`h ncdlce toli) V`h| t|mmhvrldce cif crh celjihf zlv` v`h
gxvhr dciv`xt gn v`h h|ht) Cxrldeht crh nehplbeh% nlrm% cif igivhifhr) X{gi ctthttmhiv% ig rhfihtt
gr {xrxehiv fltd`crjht zhrh thhi gi v`h hpvhrice dcice) [cvlhiv lt cbeh vg `hcr li c igrmce ~gldh
vgih)
IGTH
V`h icrht gn v`h {cvlhiv“t igth x{gi ctthttmhiv c{{hcrt vg bh igrmce zlv` lvt th{vxm li
mlfelih) V`h mxdgtc lt {liolt` li dgegr cif bgv` icrht crh {cvhiv) T|mmhvrldce gencdvgr| grjcit
v`xt% li jggf dgiflvlgi)
MGXV@
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V`h el{t gn gxr {cvlhiv crh rhf li dgegr% fr| cif drcdolij) @lt mxdgtc cetg lt rhf li dgegr)
@hr vgijxh lt rhfflt` li dgegr cif lt li mlfelih) V`h jxmt crh cetg rhf li dgegr% tmggv`) X{gi
lit{hdvlgi gn v`h mgv`hr v`hrh crh ig ehtlgit gr ci| behhflij)
[@CR\IP
V`h {cvlhiv“t x~xec lt mli mlfelih) Vgitlet igvhf vg bh gbtvrxdvl~h) V`xt% {cvlhiv“t c{{hvlvh
lt igv jggf) [cvlhiv `ct flnnldxev| tzceegzlij)
IHDO
V`h {cvlhiv“t ihdo lt t|mmhvrldce) X{gi {ce{cvlgi% tzgeehi e|m{` igfht li v`h ihdo igvhf)
V`|rglf jecift igv vhifhr cif igv hiecrjhf) Ihdo mxtdeht crh hsxce li tlqh) Vrcd`hc lt {gtlvlgihf
li v`h mlfelih x{gi {ce{cvlgi)
D@HTV CIF EXIJT
V`h d`htv x{gi lit{hdvlgi li igv bxejlij) V`h {cvlhiv“t brhcv`lij lt rhjxecr) [gtvhrlgr
mgblelv| cif {gtvxrh gn v`h v`grcp x{gi rht{lrcvlgi lt t|mmhvrldce) Exij hp{citlgi cif ~gdce
vcdvleh nrhmlvxt lt t|mmhvrldce) Brhcv` tgxift x{gi cxtdxevcvlgi lt rhtgiciv)
@HCRV
V`h c{ldce bhcv gn v`h `hcrv lt `hcrf g~hr v`h c{hp gn v`h `hcrv z`ld` lt egdcvhf cv v`h nlnv`
livhrdgtvcet t{cdh ({gliv gn mcplmce lm{xeth,) @hcrv tgxift crh rhjxecr cv T3-T2 bcth) Ig
mxrmxrt gr tol{ bhcvt igvhf)
BRHCTV CIF CPLEEC
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Brhctv tlqht crh hsxce% telj`ve| rgxifhf cif t|mmhvrldce) Il{{eht crh tlmlecr% tmcee%
rgxifhf cif zlv` c nclr brgzi dgegr) Crhgect crh rgxif cif blecvhrcee| v`h tcmh) Cpleec lt tmggv`
zlv`gxv ehtlgit) Ig hiecrjhf e|m{` igfht gr mcttht zhrh igvhf x{gi {ce{cvlgi)
CBFGMHI
V`h cbfgmhi lt jhihrcee| t|mmhvrldce li dginljxrcvlgi cif `ct igrmce jrgzelij tgxift gn
32) X{gi {hrdxttlgi% v`h cbfgmhi lt v|m{cild li tgxif) Ig mcttht gr {cli igvhf x{gi {ce{cvlgi)
JHILVG- XRLICR\
Ig fcvc dgeehdvhf-delhiv lt lrrlvcbeh) Mgv`hr v`cv `lt jhilvcet `ct ig ci| {rgbehm) V`hrh crh
ig ehtlgit ct ~hrbcelqhf b| v̀ h mgv`hr) Hpdrhvlgi cif helmlicvlgi gn zctvht crh h~hr| fc|) [cvlhiv
lt xtlij flc{hr) Tvgge |heegzlt` li dgegr cif xrlih lt elj`v |heegz li dgegr)
BCDO CIF HPVRHMLVLHT
V`h {hrl{`hrce {xetht crh rhjxecr z`hi ctthtthf) @lt iclet cif icle bhft c{{hcr vg bh
{liolt̀ li dgegr) Hr|v̀ |mc gn v`h `cift crh igvhf) Tgeht gn v`h nhhv crh rhffhihf) Rcijh gn mgvlgi
lt nxee) @lt mxtdeh vgih cif tvrhijv` gi bgv` hpvrhmlvlht crh hsxcee| tvrgij) T{lih lt li mlfelih cif
bgf| {gtlvlgi% tvcvxrh cif jclv lt dggrflicvhf)
FLCJIGTLT
Flcjigtvld Drlvhrlc ngr Oczctcol Flthcth
[rhthidh gn cv ehctv 6 gn v`h nn) > tljit
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Nh~hr ectvlij ngr cv ehctv 8 fc|t1
Blecvhrce bxebcr dgiaxidvl~ce liahdvlgi% jhihrcee|
igi{xrxehiv
D`cijht li v`h mxdgtc gn v`h grg{`cr|ip%
lidexflij liahdvhf {`cr|ip% liahdvhf cif'gr fr|
nlttxrhf el{t% tvrczbhrr| vgijxh
D`cijht gn v`h {hrl{`hrce hpvrhmlvlht% txd` ct
hfhmc cif'gr hr|v`hmc gn v`h `cift gr nhhv li
v`h cdxvh {`cth? gr {hrlxijxce fhtsxcmcvlgi li
v`h txbcdxvh {`cth
Rct`% {rlmcrle| vrxidce? {ge|mgr{`gxt gr
igi~htldxecr
Dhr~ldce cfhig{cv`|% 9 3)8 dm)% xtxcee|
xilecvhrce e|m{`cfhig{cv`| leeihtt igv
hp{eclihf b| gv`hr oigzi flthcth {rgdhtt
FLCJIGTLT GN V@H JRGX[
Txbthsxhiv vg ctthttlij v`h flnnhrhiv mcilnhtvcvlgit gn v`h delhiv% v`h jrgx{ bhelh~hf v`cv
v`h delhiv lifhhf `ct v`lt Oczctcol flthcth)
V`lt flcjigtlt zct mcfh bhdcxth v`h {hrtgi `ct mhv v`h Mcagr flcjigtvld drlvhrlc
htvcbelt`hf b| v`h Dhivhrt ngr Flthcth Dgivrge cif [rh~hivlgi (DFD,) V`h DFD rhsxlrht v`cv nh~hr
cif ngxr gn v`h tlp gv`hr drlvhrlc eltvhf cbg~h fhmgitvrcvhf) Vg gxr {cvlhiv% nl~h gxv gn tlp
t|m{vgmt zhrh mcilnhtvhf)
[CV@G[@\TLGEGJ\
[rhdl{lvcvlij Ncdvgrt1
Xioigzi |hv eliohf zlv`
xioigzi hvlgegjld cjhiv
cif hi~lrgimhivce ncdvgrt
[rhflt{gtlij ncdvgrt1
Cjh-3 |hcr gef
Thp-Mceh
Rcdh-Ctlci
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Cxvglmmxih Rht{gith({gttlbeh ln vhtvhf gn
@EC-BI22A2 civljhi,
Rhehcth gn D`hmldce
Mhflcvgrt
( `ltvcmlih%
brcf|olili%
{rgtvcjecifli,
^ctgflecvlgi cif
Dheexecr [hrmhcblev|
Cvvrcdvlgi gn [`cjgd|vht cif ZBD
Hivr| gn civljhi gi
e|m{`cvld dc{leecrlht
T'T1
Rhfihtt
Tzheelij @hcv
[`cjgd|vgtlt b| ihxvrg{`let cifmcdrg{`cjht (civljhit crh
egdcelqhf cif linecmmcvlgi
`c{{hit
Lidrhcth {rhttxrh fxh
vg linecmmcvlgi cif
hivr| gn civlbgflht
T|tvhmld beggf ~htthetli~ge~hmhiv (linecmmcvlgi
gn tmcee . mhflxm tlqh
~htthet,
7/23/2019 NURSING CASE STUDY: Kawasaki Disease
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FGDVGR“T GRFHR
0'32';< K 3;128 {m
Ln vrhcvhf1
Cm{ldleeli
DhvlrlqlihFlcqh{cm
Dhnvrlcpgih
[crcdhvcmge
Ln igv vrhcvhf1
Dgm{eldcvlgit fh~heg{hf
JGGF [RGJIGTLT
M|gdcrflce lincrdvlgi
FHCV@
Dcrflgmhjce|
M|gdcrflvlt
[hrldcrflvlt
@hcrv nclexrh
Rx{vxrhf dgrgicr|
7/23/2019 NURSING CASE STUDY: Kawasaki Disease
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[ehcth cfmlv xifhr v`h thr~ldh
gn Fr) ^leehjct
^T s6
Flhv ngr Cjh
Ecbt DBD% X'C
Tvcrv ~higde|tlt zlv` F8 )4
IcDe 8;;dd K >;dd'`r)
Mhfldcvlgit1
3) Cm{ldleeli 28;mj L^VV
s>` CITV
2) [crcdhvcmge 3;;j'me 3)2me
s6` RVD
4) [crcdhvcmge <;mj L^VV
s6` [RI ngr V940)8D
6) Flcqh{cm 2)8mj L^VV ngr
cdvl~h thlqxrh
VTB ngr V-40)8D
Rhnhr cddgrflije|
G2 li`cecvlgi K 2-4E{m ngr
cdvl~h thlqxrh
0'34';<
T1 (-, nh~hr zhee cdvl~h
T1 (/, rct`ht
K <12; cm
L^N VN- F8 LMB 8;;dd
K 33148 cm
Ngr X'C
[crcdhvcmge {)g RVD p 2
fgtht v`hi [RI
L^N vg nn F8LMB 8;;dd K TR
Rh{hcv DBD {ecvhehv
K>14; {m
L^NVN1 F8LMB 8;;ddK TR
Dhvlrlqlih grce frg{t 3me s 32
0'36';<
T1 Tvlee zlv` nh~hr
T1 Dgiaxidvl~lvlt {cig{g{xecr rct`
K32148{m
L^NVN F8LMB 8;;dd K TR
Hiv mhs
K>{m
L^NVN F8LMB K 8;;dd
KTR
Dgivlixh mhft)
0'38';<
T1 F6 nh~hr rct`
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Dgia) H{hm
K3314; cm
L^N vg F8LMB 8;;dd KTR
Dgivlixh mhft)
Tvcrv dhnxrgplmh 3;; j'vt
2)8me s 32`
Ectv fgth gn cm{xeh K
32iggi
0'3>';< K >1;8cm
L^N VN F8LMB 8;;dd
K <1;;cm
Tvlee `ct livhrmlvvhiv nh~hr
Dgivlixh mhft)
K61;;{m
Rh{hcv DBD {ecvhehv
L^N VN FLMB 8;;ddK TR
Dgivlixh mhft)
K014;{m
L^N VN1 F8LMB 8;;dd KTR
0'3:';< K32138{m
Ngr v|{`lfcv
Ngr tvgge hpcm
Lidgr{grcvh 3cm{) B.D vg
{rhthiv L^VV
L^N VN F8LMB 8;;K>;dd
K>{m
Vrcitnhr L^ tlvh
Ngr d`htv p-rc| C[E li CR
Dhnvrlcpgih 8;;mj l~vvs32`
CITV
Vg dgitxmh dhnxplmh
Ngr {gttlbeh E[ li CM
Thdxrh dgithiv
K0138{m
L^N VN F8LMB 8;;ddKTR
0'30';<K 32ii
D'V L^N
Rhvcli ngr `h{egdo
Dgivlixh ngr gv`hr mhft)
FLCJIGTVLD CIF ECBGRCVGR\ VHTVT
HPCMLICVLGI RHTXEV IGRMCE DELILDCE
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RCIJH TLJILNLDCIDH
@HMCVGEGJ\
Cxjxtv 32%2;;<
ZBD 38): 3;HS'E 8);-34); @lj`-~lrce . bcdvhrlce
linhdvlgi
E\M 6)8 E ;)>-46)3 @lj`-~lrce . bcdvhrlce
linhdvlgi
JRCI 3;)4 J 2);-:)0 @lj`-
RBD 6)84 3;H32'E 4)0;-8)6; Igrmce
@DV 46)8 4<);-6:); Egz-cdxvh beggf egtt
MD^ :>)3 nE 0;-<:); Egz-mldrgd|vld cihmlc
MD@ 26): {j 28);-42); Egz-mldrgd|vld cihmlc
MD@D 428 j'E 43;-4>; IgrmceRFZ 38)> 33)8-36)8 @lj`
[EV 62; 3;H<'E 38;-6;; @lj`-mceljicid|
M[^ <)2 nE ;);-<<)0 Igrmce
@JB 332 32;-38; j'E Egz-
cihmlc'fh`|frcvlgi
XRLICE\TLT
Cxjxtv 34% 2;;<
Jhihrce
Dgegr-\heegz
Vrcit{crhid|-Dehcr
Rhcdvlgi-:);T{hdlnld Jrc~lv|-3);;;
D`hmldce
Cebxmli-[gtlvl~h
Txjcr-Ihjcvl~h
Mldrgtdg{ld
[xt dheet-3-4'`{n
Cmgr{`gxt Xrcvht'[`gt{`cvht-
nhz'`{n
Mxdxt v`rhcft-Gddctlgice'`{n
V\[@L FGV
Mltdheecihgxt
T{hdlmhi1 Z`gehbeggf
Hpcmlicvlgi1 Tcemgiheec 3j>'3jm
Rhtxev-Ihjcvl~h
FRXJ TVXF\
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Brcif Icmh1 Ig~g-Cm{ldleeli
Jhihrld Icmh1 Cm{ldleeli
Decttlnldcvlgi1 Civlblgvld
Lifldcvlgi1 Xthf vg vrhcv rht{lrcvgr| vrcdv linhdvlgit)
Cdvlgi1 T|iv`hvld% brgcf-t{hdvrxm civlblgvld txlvcbeh ngr jrcm-ihjcvl~h bcdvhrlc) Cdlf rhtltvciv%
fhtvrg|hf b| {hildleeli-cth)
Rgxvh'Fgtcjh1 L^VV D`lefrhi1 38;-2;; mj'oj'fc|)
Tlfh hnnhdvt1 Flcrr`hc% Icxthc cif ^gmlvlij% xrlicr| rhvhivlgi% d`leet% mxdgtce behhflij)
Dgivrclifldcvlgi1 @h{cvld F|tnxidvlgi
Ixrtlij rht{gitlblelvlht1 Oigz v`h Vhi Rlj`vt gn v`h {cvlhiv% Fgdxmhiv v`h v|{h% githv% cif
d`crcdvhrltvldt gn t|m{vgmt% Ctthtt ngr Flcrr`hc cif T.T gn tx{hr Linhdvlgi% Rh{grv ci| h~lfhidh
gn cf~hrth hnnhdvt lidexflij rct`? tgrh v`rgcv cif hiecrjhf e|m{` igfht)
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Brcif Icmh1 Q|rvhd
Jhihrld Icmh1 Dhvlrlqlih
Decttlnldcvlgi1 Civl`ltvcmlih
Lifldcvlgi1 rhelhn gn t|m{vgmt cttgdlcvhf zlv` thctgice ceehrjld r`lilvlt)
Cdvlgi1 [gvhiv @-rhdh{vgr civcjgiltv) Mlef brgid`gflecvgr %v`cv {rgvhdvt cjclitv `ltvcmlih-lifxdhf
brgid`gt{ctm) Rc{lfe| cbtgrbhf cnvhr [G Cfmliltvrcvlgi)
Rgxvh'Fgtcjh1 [G D`lefrhi% > mgiv`t — 2|rt1 2)8mj gidh fcle|) Li d`lefrhi% 32-24 mgiv`t% fgth
dci bh lidrhcthf vg c mcplmxm gn 8mj'fc| jl~hi ct 2)8 mj s 32`r)
Tlfh Hnnhdvt1 Tgmigehidh% fr| mgxv`% ncvljxh% {`cr|ijlvlt% cif flqqlihtt% Dgi~xetlgi)
Dgivrclifldcvlgit1 Ecdvcvlgi) Li d`lefrhi ehtt v`ci > |hcrt gn cjh zlv` lm{clrhf rhice cif `h{cvld
nxidvlgi)
Ixrtlij Rht{gitlblelvlht1 Oigz Vhi Rlj`vt gn v`h [cvlhiv% Fgdxmhiv githv% delildce {rhthivcvlgi%
cif d`crcdvhrltvldt gn t|m{vgmt? igvh ci| vrljjhrt cif Ctthtt ^T cif L.G)
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Brcif Icmh1 Flcqhmxet
Jhihrld Icmh1 Flcqh{cm
Decttlnldcvlgi1 Civlciplhv|
Lifldcvlgi1 Mcicjhmhiv gn ciplhv| fltgrfhrt gr ngr t`grv vhrm rhelhn t|m{vgmt gn ciplhv|)
Cdvlgi1 V`h tohehvce mxtdeh rhecpciv hnnhdv gn flcqh{cm mc| bh fxh vg hi`cidhmhiv gn JCBC-
mhflcvhf {rht|ic{vld li`lblvlgi cv v`h t{lice eh~he ct zhee ct li v`h brcli tvhm rhvldxecr ngrmcvlgi)
Rgxvh'Fgtcjh1 [G ? 3-2)8 mj 4-6 vlmht {hr fc|)
Dgivrclifldcvlgit1 Ecdvcvlgi% cif {crhivhrcee| li d`lefrhi xifhr 32 |hcrt)
Tlfh hnnhdvt1 [rgegijhf DIT fh{rhttlgi% cigrhplc% icxthc cif ~gmlvlij% zhcoihtt)
Ixrtlij Rht{gitlblelvlht1 Oigz v`h Vhi Rlj`vt gn v`h [cvlhiv) Rh{grv ci| cf~hrth tlfh hnnhdvt gr
ecdo gn rht{gith ) Rhfxdh frxj jrcfxcee| vg c~glf zlv`frczce t|m{vgmt) Mgilvgr ^lvce Tljit)
Brcif Icmh1 Rgdh{`li
Jhihrld Icmh1 Dhnvrlcpgih
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Decttlnldcvlgi1 Dh{`cegt{grli% v`lrf jhihrcvlgi)
Lifldcvlgi1 vrhcvmhiv li Egzhr Rht{lrcvgr| vrcdv linhdvlgit
Cdvlgi1 v ½1 C{{rgplmcvhe| >-0`r) tljilnldcive| {rgvhli bgxif) Thrxm eh~het cnvhr 3j L^1 383
mdj'me) Gih v`lrf vg vzg-v`lrft hpdrhvhf xid`cijhf li v`h xrlih)
Rgxvh'Fgtcjh1 L^VV 3;; mj'oj'fc|% igv hpdhhf vgvce fcle| fgth gn 6 j jl~hi gidh fcle| gr li
hsxcee| fl~lfhf fgtht s 32 `r ngr :-36 fc|t)
Tlfh hnnhdvt1 Lidrhcthf li thrxm drhcvlilih% {rhthidh gn dctvt li v`h xrlih)
Ixrtlij Rht{gitlblelvlht1 oigz v`h vhi rlj`vt gn v`h {cvlhiv) Fg igv mlp frxj zlv` gv`hr
civlblgvld) Rh{grv cf~hrth tlfh hnnhdvt txd` ct brxltlij% behhflij cif flcrr`hc) Mgilvgr ^lvce Tljit)
Brcif Icmh1 Vhm{rc
Jhihrld Icmh1 [crcdhvcmge
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Decttlnldcvlgi1 Civl-[|rhvld% Cicejhtld
Lifldcvlgi1 Xthf vg rhfxdh nh~hr li bcdvhrlce gr ~lrce linhdvlgit)
Cdvlgi1 Fhdrhctht nh~hr b| c `|{gv`cecmld hnnhdv ehcflij vg tzhcvlij cif ~ctgflecvlgi) Cetg
li`lblvt v`h hnnhdv gn {|rgjhit gi v`h `|{gv`cecmld `hcv-rhjxecvlij dhivhrt)
Rgxvh'Fgtcjh1 Grce elsxlf) 3-2|hcrt? 32;mj'fgth)
Tlfh hnnhdvt1 nhz z`hi li xtxce v`hrc{hxvld fgtht) D`rgild cif h~hi cdxvh vgpldlv| dci fh~heg{
cnvhr egij t|m{vgm-nrhh xtcjh)
Dgivrclifldcvlgit1 Rhice litxnnldlhid|% cihmlc) Delhivt zlv` dcrflcd gr {xemgicr| flthcth crh
mgrh txtdh{vlbeh vg cdhvcmlig{`hi vgpldlv|)
Ixrtlij Rht{gitlblelvlht1 Oigz v`h Vhi Rlj`vt gn v`h {cvlhiv) Fg igv hpdhhf c fgth c fgth gn 6
j'26 `r li cfxevt cif :8 mj'oj'fc| li d`lefrhi) Fgdxmhiv {rhthidh cif eh~he gn nh~hr) Mgilvgr
^lvce Tljit ht{hdlcee| Vhm{hrcvxrh 4;mlit cnvhr v`h cfmliltvrcvlgi)
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MCICJHMHIV
[`crmcdgegjld livhr~hivlgit1
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• Lmmxih jegbxeli (jcmmc jegbxeli, L)^) v`hrc{| — L^JJ (2j'oj'fc|, lt lilvlcvhf fxrlij
tvcjh L li gih 0 vg 3; `gxr linxtlgi vg rhfxdh v`h lidlfhidh gn dgrgicr| crvhr|
cbigrmcelvlht)
• Ct{lrli v`hrc{|
• V`rgmbge|vld v`hrc{| mc| bh rhsxlrhf fxrlij tvcjht L% LL% gr LLL)
Mgilvgrlij
3) Mgilvgr {cli eh~he cif d`lef“t rht{gith vg cicejhtldt)
2) Litvlvxvh dgivlixce dcrflcd mgilvgrlij cif ctthttmhiv ngr dgm{eldcvlgit? rh{grv
crr`|v`mlct)
g Vcoh ~lvce tljit ct flrhdvhf b| dgiflvlgi? rh{grv cbigrmcelvlht)
g Ctthtt ngr tljit gn m|gdcrflvlt (vcd`|dcrflc% jceeg{ r`|v`m% d`htv {cli,)
g Mgilvgr ngr `hcrv nclexrh (f|t{ihc% ictce necrlij% jrxivlij% rhvrcdvlgit% d|cigtlt%
grv`g{ihc% drcdoeht% mgltv rht{lrcvlgit% fltvhifhf axjxecr ~hlit% hfhmc,)
3) Degthe| mgilvgr livcoh cif gxv{xv% cif cfmliltvhr grce cif L)̂ nexlft ct
grfhrhf)
2) Mgilvgr `|frcvlgi tvcxt b| d`hdolij toli vxrjgr% zhlj`v% xrlicr| gxv{xv%
t{hdlnld jrc~lv|% cif {rhthidh gn vhcrt)
4) Gbthr~h mgxv` cif toli nrhsxhive| ngr tljit gn linhdvlgi)
Tx{{grvl~h dcrh
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3) Ceegz v̀ h d`lef {hrlgft gn xilivhrrx{vhf rhtv) Gnnhr {cli mhfldcvlgi rgxvlihe| rcv̀ hr v`ci ct
ihhfhf fxrlij tvcjh L) C~glf ITCLFT ln v`h d`lef lt li ct{lrli v`hrc{|)
2) [hrngrm dgmngrv mhctxrht rhecvhf vg v`h h|ht)
g Dgiaxidvl~lvlht dci dcxth {`gvgthitlvl~lv|% tg fcrohi v`h rggm% gnnhr txijecttht)
g C{{e| dgge dgm{rhtt)
g Fltdgxrcjh rxbblij v`h h|ht)
g Litvlee crvlnldlce vhcrt vg tggv`h dgiaxidvl~c)
4) Mgilvgr vhm{hrcvxrh h~hr| 6 `gxrt) [rg~lfh t{gijh bcv` ln vhm{hrcvxrh cbg~h igrmce)
6) [hrngrm {cttl~h rcijh gn mgvlgi hphrdltht h~hr| 6 `gxrt z`leh v̀ h d`lef lt czcoh bhdcxth
mg~hmhiv mc| bh rhtvrldvhf)
8) [rg~lfh sxlhv cif {hcdhnxe hi~lrgimhiv zlv` fl~hrtlgice cdvl~lvlht)
>) [rg~lfh dcrh mhctxrht ngr grce mxdgxt mhmbrcih)
g Gnnhr dgge elsxlft eloh ldh d`l{t cif ldh {g{t)
g Xth tgnv vggv`brxt` gie|)
g C{{e| {hvrgehxm ahee| vg frlhf% drcdohf el{t)
:) [rg~lfh toli mhctxrht vg lm{rg~h toli livhjrlv|)
g C~glf xth gn tgc{ bhdcxth lv vhift vg fr| toli cif mcoh lv mgrh elohe| vg
brhcofgzi)
g Heh~cvh hfhmcvgxt hpvrhmlvlht)
g Xth tmggv` t`hhvt)
g C{{e| hmgeelhivt vg toli ct grfhrhf)
g [rgvhdv {hhelij gn toli% gbthr~h ngr tljit gn linhdvlgi)
0) Gnnhr dehcr elsxlft h~hr| `gxr z`hi v`h d`lef lt czcoh)
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<) Hidgxrcjh v`h d`lef vg hcv mhcet cif ticdo zlv` cfhsxcvh {rgvhli)
3;) Linxth L)^ nexlft v`rgxj` c ~gexmh dgivrge fh~ldh ln fh`|frcvlgi lt {rhthiv% cif d`hdo v`h
tlvh cif cmgxiv `gxre|)
33) Hp{ecli cee {rgdhfxrht vg v`h d`lef cif ncmle|)
32) Hidgxrcjh v`h {crhivt cif d`lef vg ~hrbcelqh v`hlr dgidhrit% nhcrt% cif sxhtvlgit)
34) [rcdvldh rhecpcvlgi vhd`ilsxht zlv` d`lef% txd` ct rhecpcvlgi brhcv`lij% jxlfhf lmcjhr|% cif
fltvrcdvlgi)
36) [rh{crh v`h d`lef ngr dcrflcd txrjhr| gr v`rgmbge|vld v̀ hrc{| ln dgm{eldcvlgit fh~heg{)
38) Ohh{ v`h ncmle| lingrmhf cbgxv {rgjrhtt cif rhlingrdh tvcjht cif {rgjigtlt)
[RGJIGTLT
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DRLVHRLC [GGR NCLR JGGF AXTVLNLDCVLGI
Githv gn leeihtt
X{gi v`h githv gn nh~hr cif thlqxrh)
Ncmle| zct cbeh vg brlij v`h {cvlhiv
ngr d`hdo-x{ cif zct tggi
txbmlvvhf ngr nxrv`hr mcicjhmhiv
Fxrcvlgi gn leeihtt
V`h {crhivt zhrh ~hr| zleelij vg jg
vg v`h `gt{lvce ngr mhfldce
mcicjhmhiv cif nxrv`hr vrhcvmhiv
h~hi v`gxj` gn nlicidlce litvcblelv|)
[rhdl{lvcvlij Ncdvgr
V`h flthcth“ {rhdl{lvcvlij ncdvgr
lidexfht hi~lrgimhivce ncdvgrt)
Zh tvrhtt v`h hi~lrgimhiv ct gih gn
v`h tvrgijhtv ncdvgr dgivrlbxvlij vg
v`h fh~heg{mhiv gn Oczctcol
flthcth) Bxv gxr {cvlhiv“t
hi~lrgimhivce ncdvgr fght igv
{rhflt{gth gxr {cvlhiv vg v`h
fh~heg{mhiv gn Oczctcol flthcth)
Zleelijihtt vg vcoh
mhfldcvlgi
Gxr {cvlhiv lt lmmhithe| zleelij cif
{crvldl{cvl~h li v`h mhfldce mhctxrht
thv b| `lt {`|tldlci)
H~hi v`gxj` `h lt gie| 3 cif c `cen
gef bxv `h lt tg {crvldl{cvl~h)
Cjh gn {cvlhiv Bhlij 3 cif c ̀ cen |hcr gef% gxr
{cvlhiv bhegijt vg v`h brcdohv gn cjh
z`hi v`lt {crvldxecr flthcth {hcot
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cif cnnhdvt |gxij cfxevt mgrh tg%
v`cv gxr {cvlhiv lt mceh% cigv̀ hr
dgitlfhrcbeh ncdvgr) Cetg% bhlij ci
Ctlci lt txd` c dgitlfhrcbeh ncdvgr)
Hi~lrgimhiv
Gxr {cvlhiv“t hi~lrgimhiv fght igv
{rhflt{gth gxr {cvlhiv vg v`h
fh~heg{mhiv gn Oczctcol flthcth
igr {ecdh gxr {cvlhiv `hcev` cv rlto
Ncmle| tx{{grv
Gxr {cvlhiv“t ncmle| lt ~hr|
tx{{grvl~h zlv` gxr {cvlhiv“t dxrrhiv
{elj`v) V`h| crh igv gie| tx{{grvl~h
gn `lm nlicidlcee| bxv mgrh tg%
hmgvlgicee|) V`h| crh mgtv gn v`h
vlmh zlv` `lm `hr ct t`h tvrxjjeht
zlv` `lt flthcth cif v`rgxj`gxv v`h
dgxrth gn `hr cdvxce cif {gttlbeh
vrhcvmhiv
[GGR- 3------------------------------------------------------3p3=3
NCLR-;--------------------------------------------------------;p2=;
JGGF->------------------------------------------------------>p4=30
---------------3<':=2):3 gr 4
G~hrcee [rgjigtlt1JGGF
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Zlv` gxr jhihrce rhtxev ct gxr {rlmcr| bctlt% gxr {cvlhiv lt h~lfhive| zlv` jggf {rgjigtlt)
Dgitlfhrlij v`h ncdv v`cv Oczctcol flthcth lt gih gn v`h mgtv dxrcbeh flthcth% gxr {cvlhiv lt rhcee|
zlv` jggf {rgjigtlt) Gxr {cvlhiv lt li v`h nlrtv {`cth gn v`h flthcth cif v`h ncmle| zct cbeh vg
cfmlv v`h {cvlhiv ngr mhfldce mcicjhmhiv) V`h dxrrhiv dgiflvlgi cif v`h dgxrth gn gxr {cvlhiv“t
vrhcvmhiv lt `hcflij vgzcrft v`h jggf rgcf cif dgxef {gtlvl~he| rhtxev vg gxr {cvlhiv“t vgvce
zheeihtt cif mc| ehcf vg v`h rhdxrrhidh gn gxr {cvlhiv“t g{vlmxm `hcev` cif zheeihtt
FLTD@CRJH [ECI
MHFLDCVLGIT
Fltdxtt cee vcoh `gmh mhfldcvlgit vg v`h {cvlhiv cif tljilnldciv gv`hrt)
Hidgxrcjh vg vcoh frxjt zlv` nggf ln igv dgivrclifldcvhf)
Lingrm v`hm v`cv v`h frxjt mc| hp`lblv xifhtlrcbeh tlfh hnnhdvt)
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V`lt hicbeht v`hm vg oigz z`cv frxjt vg bh vcohi cif lv“t fhtlrhf fgtht)
Tgmh frxjt mc| dcxth JL lrrlvcvlgi ln vcohi zlv` hm{v| tvgmcd`)
Cf~hrth rhcdvlgi lt zlv` elnh v`rhcvhilij hnnhdvt vg v`h {cvlhiv) Lmmhflcvh
dgitxevcvlgi lt ihdhttcr| vg {rh~hiv xivgzcrf liaxrlht)
HPHRDLTH
@c~h cfhsxcvh rhtv cif tehh{)
V`lt rhd`crjht v`h hihrjlht vg nxidvlgi bhvvhr% bgv` {`|tldcee| cif mhivcee|)
VRHCVMHIV
Hp{ecli v`h vrhcvmhiv cif mhfldcvlgi {xr{gth vg bh dgivlixhf cv `gmh)
Lv lt ihhfhf ngr mclivhicidh cif dgivrge gn flthcth)
@HCEV@ VHCD@LIJT
Litvrxdvhf T)G vg lidrhcth nexlf livcoh vg 0 jecttht gn zcvhr c fc|)
Hm{`ctlqhf `cif zct`lij vhd`ilsxh)
Hidgxrcjhf T)G vg {rh{crh nggft v`cv crh ixvrlvlgxt txd` ct ~hjhvcbeht cif nrxlvt)
GXV[CVLHIV GRFHRT
Rhmlif v`h ncmle| gi v`hlr ngeegz-x{ d`hdo-x{ zlv` v`hlr {`|tldlci)
Hidgxrcjh v`hm vg dcrr| gxv ngeegz-x{ flcjigtvld hpcm)
Mclivcli c jggf cif tcnh hi~lrgimhiv)
Vg h~cexcvh v`h {rgjrhtt gn v`h vrhcvmhiv)
Vg h~cexcvh zgrthilij dgiflvlgi gn v`h {cvlhiv v`cv ihhft mhfldce cvvhivlgi)
Mc| ncdlelvcvh nctv rhdg~hr| cif {rh~hiv v`h {cvlhiv nrgm nxrv`hr liaxr|)
FLHV
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Hidgxrcjh vg `c~h v`rhh bctld nggf jrgx{t li v`h flhv zlv` egz tcev egz ncv)
Vg {rg~lfh bcecidh flhv cif fhdrhcth {rgjrhtt gn CDT)
@\JLHIH
@c~h {hrtgice `|jlhih fcle|?
Ohh{ v`h {cvlhiv“t toli livcdv cif nrhh gn ehtlgit
V`hth rhmg~h flrv% cif mclivcli jhrm-nrhh {`|tldce c{{hcrcidh)
Vg {rh~hiv toli brhcocjh v`cv mc| bh c dgivrlbxvlij ncdvgr li v`h hivr| gn
mldrggrjciltmt
)
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