What are the precautions after Kawasaki disease surgery?

Kawasaki disease is a common pediatric disease, so our parents should be aware of this disease, because the occurrence of this disease will cause more serious harm to the health of children. When dealing with Kawasaki disease, we should pay attention to taking children for early treatment, and nursing work is also very important. Let's take a look at what precautions should be taken after Kawasaki disease surgery.

1. Body temperature: The first symptom of the child is fever. Fever is related to immune dysfunction. The child's body temperature is prolonged fever or remittent fever, reaching 38℃～40℃. After admission, the body temperature is measured 4 times/day, and then changed to 20 times/day after the body temperature returns to normal.

Because of the recurring high fever, the family members of the children are prone to irritability, anxiety, and emotional instability. They should be patiently persuaded and explained. When the child has a high fever, you should not give the child antipyretics by yourself, but report to the doctor. It is recommended to use physical cooling below 38.5℃, such as warm water bathing, ice pack cooling, and drinking more warm water. If the body temperature does not drop and continues to rise to above 38.5℃, drug treatment such as Modinshu and Profit should be used to achieve the purpose of cooling.

2. Oral cavity and lips: The lips are flushed, dry, cracked, bleeding, and crusted. The oral and pharyngeal mucosa is diffusely congested, the tongue papillae are prominent and appear as bayberry tongue, and the tonsils are slightly or severely swollen. Parents should take good care of the child's oral cavity and pay attention to oral hygiene. Try to avoid eating raw and hard foods, and mainly eat liquid and soft foods.

3. Lymph node changes: Most children may experience lymphadenopathy, mainly non-suppurative enlargement of the cervical lymph nodes, which are the size of soybeans to broad beans, multiple on one side, and may be tender but without fluctuation. Most of them will disappear on their own after 1 week.

4. Changes in the extremities: Children may experience hard swelling of fingers and toes, redness of the palm skin within 1 week. Some children may experience spindle-shaped swelling and tenderness in the finger and toe joints, peeling of the extremities, perianal area, trunk, etc., and loss of nails. Children should be given enhanced care, pay attention to the cleaning of local skin and mucous membranes, avoid scratching the skin, and take care to prevent skin tears.

5. Rash: 1 to 5 days after the onset of the disease, some children may develop erythema multiforme on the skin, with scarlet fever-like rash being the most common, but without blisters and scabs. It will disappear in about a week. During this period, it should be distinguished from other infectious rashes and drug-induced allergic rashes. At this time, parents should dress the children in soft clothes to prevent them from scratching and reduce irritation.

6. Eye changes: 1 to 6 days after the onset of the disease, children may experience conjunctival congestion or bulbar conjunctival congestion, without secretions or swelling. Chloramphenicol eye drops can be used to avoid direct strong light stimulation and excessive fatigue.

The above contents introduce the precautions for Kawasaki disease. Kawasaki disease causes more harm to children's health. We need to learn more about Kawasaki disease and pay attention to the physical condition of children around us. If symptoms of Kawasaki disease appear, treatment should be timely and attention must be paid to strengthening nursing work.