Kawasaki disease
Structured condition card with NCLEX priority cues and nursing action focus.
PediatricsCardiacAutoimmune / Genetichigh priorityneeds review
Kawasaki disease
Also testable as: Mucocutaneous lymph node syndrome, Kawasaki syndrome
Etiology / Pathophysiology
- Unknown cause; inflammatory vasculitis primarily affects young children.
- Medium-vessel inflammation can damage coronary arteries and cause aneurysms if untreated.
Medications
No specific medication class was seeded for this card.
Nursing actions
- Assess persistent fever, conjunctivitis, strawberry tongue, cracked lips, rash, swollen hands/feet, and cervical lymph node.
- Monitor cardiac status and prepare IVIG/aspirin pathway as ordered.
- Teach follow-up echocardiograms and to avoid live vaccines for the recommended interval after IVIG per provider guidance.
Complications
- Coronary artery aneurysm
- Myocarditis
- Thrombosis
- Heart failure
NCLEX cues
- Fever five days or more plus mucous membrane and extremity changes.
- Heart/coronary risk makes it priority.
Memory hooks
- Kawasaki: fever, strawberry tongue, hands/feet, heart.
Labs / Diagnostics
- Echocardiogram
- Inflammatory markers
- CBC/platelets
- Liver tests
Review notes
- Supplemental wife-requested study card. Use for NCLEX review only and verify against school materials, ATI/NCLEX review sources, current orders, and facility policy.