NURSING CASE STUDY: Kawasaki Disease

7/23/2019 NURSING CASE STUDY: Kawasaki Disease

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FMMC DGEEHJH GN TGXV@HRI [@LEL[[LIHT

Dgeehjh gn Ixrtlij

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Li Ixrtlij Dcrh Mcicjhmhiv 3;6

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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)



GBAHDVL^HT

Jhihrce Gbahdvl~ht1

V`cv zlv`li gxr v`rhh zhhot zcrf hp{gtxrh (MMJ@% FC@% MDFD,% zh mc| bh cbeh vg

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t{hdlnld {rgdhfxrht)

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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

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cddgm{ci|lij ncmle| mhmbhr?

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flthcth?

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Eltv v`h cdvxce cif {gttlbeh t|m{vgmt v`cv gxr {cvlhiv m| mcilnhtv?



Tvxf| cif rhecvh v`h tljilnldcidh gn v`h flcjigtvld hpcmlicvlgit fgih?

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{rgbehmt?

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zheeihtt? cif

Eltv cee v`h rhnhrhidht xthf li v`h tvxf|)



[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



@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)

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{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

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[ctv @hcev` @ltvgr|

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|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



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



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



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@



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



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



Nh~hr ectvlij ngr cv ehctv 8 fc|t1

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Brcif Icmh1 Ig~g-Cm{ldleeli

Jhihrld Icmh1 Cm{ldleeli

Decttlnldcvlgi1 Civlblgvld

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fhtvrg|hf b| {hildleeli-cth)

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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)



Brcif Icmh1 Q|rvhd

Jhihrld Icmh1 Dhvlrlqlih

Decttlnldcvlgi1 Civl`ltvcmlih

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Cdvlgi1 [gvhiv @-rhdh{vgr civcjgiltv) Mlef brgid`gflecvgr %v`cv {rgvhdvt cjclitv `ltvcmlih-lifxdhf

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Dgivrclifldcvlgit1 Ecdvcvlgi) Li d`lefrhi ehtt v`ci > |hcrt gn cjh zlv` lm{clrhf rhice cif `h{cvld

nxidvlgi)

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cif d`crcdvhrltvldt gn t|m{vgmt? igvh ci| vrljjhrt cif Ctthtt ^T cif L.G)



Brcif Icmh1 Flcqhmxet

Jhihrld Icmh1 Flcqh{cm

Decttlnldcvlgi1 Civlciplhv|

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mhflcvhf {rht|ic{vld li`lblvlgi cv v`h t{lice eh~he ct zhee ct li v`h brcli tvhm rhvldxecr ngrmcvlgi)

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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



Decttlnldcvlgi1 Dh{`cegt{grli% v`lrf jhihrcvlgi)

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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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li`lblvt v`h hnnhdv gn {|rgjhit gi v`h `|{gv`cecmld `hcv-rhjxecvlij dhivhrt)

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cnvhr egij t|m{vgm-nrhh xtcjh)

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mgrh txtdh{vlbeh vg cdhvcmlig{`hi vgpldlv|)

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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)



MCICJHMHIV

[`crmcdgegjld livhr~hivlgit1



• 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



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)

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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)

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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)



<) Hidgxrcjh v`h d`lef vg hcv mhcet cif ticdo zlv` cfhsxcvh {rgvhli)

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tlvh cif cmgxiv `gxre|)

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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)

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38) Ohh{ v`h ncmle| lingrmhf cbgxv {rgjrhtt cif rhlingrdh tvcjht cif {rgjigtlt)

[RGJIGTLT



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)

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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



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



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)



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



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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NURSING CASE STUDY: Kawasaki Disease