Every parent hopes that their children can live a healthy life, but many hidden diseases can pose a threat to their bodies, such as Kawasaki disease. Only by cooperating with the doctor's active treatment can they get better as soon as possible. The following introduces the common home care for patients with Kawasaki disease, hoping to help everyone better understand this disease. 1. Psychological care 1. Most parents lack understanding of this disease. When they learn that this disease can cause coronary artery disease and then lead to ischemic heart disease, myocardial infarction and sudden death, they have varying degrees of tension and anxiety. At this time, we should listen to the parents' stories patiently, actively answer their questions, clarify their doubts in a timely manner, and actively inform them of the treatment plan, nursing measures, course of treatment and prognosis of this disease. 2. Some parents are anxious because their children use expensive drugs such as immunoglobulin, which results in high medical expenses. At this time, parents should be informed of the importance of using immunoglobulin and its impact on their children's condition, and psychological support should be obtained from the family members. We should also try our best to help them obtain other financial support. 3. As the children are still young and lack the ability to think independently, their thoughts and emotions are easily influenced by the outside world. We should promptly understand the psychological state of the children, communicate with them effectively with a kind attitude and friendly language, help them get through the fear stage, and increase their confidence in overcoming the disease. We can also use the "empathy method" to divert the children's attention from the disease and the attitude of their parents, so that they can maintain a good attitude. (II) Fever care Most children have persistent high fever, and their body temperature should be monitored regularly, measured every 4 hours, and sweat from the armpits should be wiped off during measurement. Physical cooling should be performed when the body temperature exceeds 38.0°C. The child should be advised to drink more water, and the forehead and Dazhui acupoint should be applied at the same time to cool down. At the same time, warm water sponge baths should be performed, and more time should be spent in blood vessel gathering places such as the armpits, inguinal grooves, and popliteal fossa to promote heat dissipation. If the effect is not good, oral antipyretics or intramuscular injection of Antongding can be used to cool down, and normal saline enema can also be used to cool down. Closely observe the child for high fever convulsions. Once they occur, the child should be laid flat immediately, oxygen should be inhaled, and sedatives (such as chloral hydrate enema) should be used. Closely observe the child for signs of dehydration. Once dry skin, sunken eye sockets, decreased urine volume, etc. appear, immediately perform intravenous rehydration as prescribed by the doctor. (III) Oral Care The oral cavity and pharyngeal mucosa of the child are diffusely congested. Daily oral care is required to keep the oral cavity clean. Brush the teeth with a soft-bristled toothbrush and avoid eating fried foods, foods with thorns or bones, nuts with shells, and hard fruits (such as sugar cane) that are prone to mechanical damage to the oral mucosa. |
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