Many parents are not particularly familiar with Kawasaki disease, which leads to the failure to treat the disease in a timely manner when it occurs, which is not conducive to recovery. According to experts, this disease is very common among children. Below is the nursing record for Kawasaki disease. I hope it can provide some help to friends in need. 1. Rest in bed Children with fever should stay in bed to reduce oxygen consumption and protect the heart. Pay attention to changes in body temperature and accompanying symptoms and deal with them in a timely manner. 2. Diet Give the child a light, high-calorie, high-protein, high-vitamin liquid or semi-liquid diet, provide adequate water, and feed the child with water frequently. The child has oral mucosal ulcers, which makes eating extremely painful, so the food should be cooled before eating. Avoid eating irritating foods. 3. Skin and mucous membrane care Closely observe the skin and mucous membrane lesions, keep the skin and mucous membranes clean, wipe the child's skin with a soft towel or gauze every day, and be careful not to scratch it: wash the buttocks after each bowel movement: cut nails short, keep hands clean to avoid scratching the skin, and never tear the skin where it peels to avoid skin infection: clothes and bedding should be soft and clean, avoid wearing clothes made of non-breathable synthetic fabrics: wipe the eyes with a cotton ball with 1-4% boric acid water every day, and apply antibiotic eye ointment when necessary: keep the mouth clean, encourage children to rinse their mouths frequently, and apply lip oil or chloramphenicol cod liver oil when the lips are dry. 4. Care of the cardiovascular system Pay attention to observe whether the child has symptoms of cardiovascular damage, such as pale complexion, listlessness, rapid pulse, etc. If any abnormality is found, go to the hospital for treatment in time. 5. Observe your baby The most important thing for mothers is to observe the baby carefully to see if there is any swelling of the baby's lymph nodes, or to observe the baby's hands and feet. Do not tear off the things you take off by hand, let them fall off by themselves, otherwise the skin will be cracked and damaged. 6. Regular review Regularly review electrocardiograms and echocardiograms, and pay attention to the possibility of coronary artery aneurysms, thrombosis, and myocardial infarction during the recovery period. Children with coronary artery changes are generally required to review every 1-3 months, and review every six months after the coronary artery returns to normal. After three consecutive normal results, the review should be changed to 3-5 years later. |
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