6 Kawasaki Disease Nursing Care Plans

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Kawasaki Disease (mucocutaneous lymph node syndrome) is an acute systemic vasculitis of unknown origin that occurs usually in children less than 5 years of age. The disease is self-limiting, however, about 20% of those untreated will likely develop a cardiac complication such as coronary arteritis and aneurysm formation.

The disease is divided into 3 phases: the acute phase is described by progressive small blood vessels inflammation (vasculitis) accompanied by high fever, inflammation of the pharynx, dry, reddened eyes, swollen hands and feet, rash, and cervical lymphadenopathy. In the subacute phase, the manifestations disappear, but there is inflammation of larger vessels and the child is at highest risk of developing coronary aneurysms. In the convalescent phase (6-8 weeks after onset), signs and symptoms slowly go away, but laboratory values are not completely normal.

There are no specific tests to confirm Kawasaki disease, but normally the diagnosis is established on the basis of the child exhibiting at least 5 of 6 criterion manifestations. Treatment started within 10 days of symptoms often prevents the development of complications.

Nursing Care Plans

Nursing goals for a child with Kawasaki disease may include increased understanding of the parents and child about the disease condition, medical treatment and planned follow-up care, relief of pain, improved physical mobility, adequate coping, and absence of complications.

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Here are six nursing care plans (NCP) and nursing diagnosis for Kawasaki Disease:

  1. Hyperthermia
  2. Acute Pain
  3. Impaired Skin Integrity
  4. Impaired Physical Mobility
  5. Impaired Oral Mucous Membrane
  6. Anxiety
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Impaired Oral Mucous Membrane

Nursing Diagnosis

May be related to

Possibly evidenced by

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  • Dry mouth
  • Red strawberry tongue
  • Inflamed tongue

Desired Outcomes

  • Child’s oral mucosa will be free from dryness and irritation.
Nursing InterventionsRationale
Assess for changes in the lips and oral cavity.Typical changes of the mucous membrane include redness of the mouth, strawberry tongue, and red, dry fissured lips.
Provide soft, nonirritating foods such as gelatin.Soft food requires less chewing and provides less irritation to the oral mucosa.
Provide cool liquids such as ice chips.Maintains hydration and decreases mouth tenderness.
Apply soothing ointments to the lips.Keep the lips lubricated to avoid soreness.
Instruct the use a soft-bristle brush or a padded tongue blade during mouth care.Soft-bristle brush limits mucosal irritation.
Provide regular oral care with alcohol-free mouthwash.Limits the bacterial accumulation that can cause infection.
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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other nursing care plans for pediatric conditions and diseases:

Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession.
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