Kawasaki Disease

WHAT YOU SHOULD KNOW:

Kawasaki disease (KD) is an illness in children that causes fever and inflammation of blood vessels. KD can damage blood vessels in your child's heart and lead to life-threatening heart problems, such as a heart attack. The exact cause of KD is unknown. Caregivers believe it may be caused by a bacterial or viral infection.

AFTER YOU LEAVE:

Medicines:

Your child may need any of the following:

  • Aspirin helps prevent blood clots. Aspirin may cause your child to bleed or bruise more easily. If you are told to give your child aspirin, do not give him acetaminophen or ibuprofen instead. Give aspirin to your child exactly as directed. Aspirin may cause a serious illness called Reye syndrome. Reye syndrome may cause brain and liver damage. Ask your child's primary healthcare provider (PHP) for more information about Reye syndrome.

  • Anticoagulants are a type of blood thinner medicine that helps prevent clots. Clots can cause strokes, heart attacks, and death. Anticoagulants may cause your child to bleed or bruise more easily.

    • Watch for bleeding from your child's gums or nose. Watch for blood in his urine and bowel movements. Have him use a soft washcloth and a soft toothbrush. Have him avoid activities that can cause bruising or bleeding.

    • Tell your child's PHP about all medicines your child takes because many medicines cannot be used with anticoagulants. Do not start or stop any medicines unless your child's PHP tells you to. Tell your child's dentist and other caregivers that he is taking anticoagulants. Have him wear a bracelet or necklace that says he takes this medicine.

    • Your child will need regular blood tests so his PHP can decide how much medicine he needs. Give him anticoagulants exactly as directed. Tell your child's PHP right away if you forget to give your child the medicine, or if he takes too much.

    • If your child takes warfarin, some foods can change how his blood clots. Do not make major changes to his diet while he takes warfarin. Warfarin works best when your child eats about the same amount of vitamin K every day. Vitamin K is found in green leafy vegetables, broccoli, grapes, and other foods. Ask for more information about what to give your child to eat when he takes warfarin.

  • Immune therapy may be given to decrease damage to your child's blood vessels.

  • Antibiotics help treat or prevent a bacterial infection.

  • Give your child's medicine as directed. Contact your child's PHP if you think the medicine is not working as expected. Tell him if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency. Throw away old medicine lists.

Follow up with your child's PHP as directed:

Your child may need to return for more tests. Write down your questions so you remember to ask them during your visits.

Care for your child:

  • Apply cream on areas where your child's skin is peeling, such as on his hands and feet. Use lip balm if his lips are dry or sore.

  • Prevent dehydration if your child has diarrhea. Give him more liquids to drink. Ask your child's PHP how much liquid he should drink and if rehydration drinks may help.

  • Prevent constipation. Give your child more liquids and foods that are high in fiber, such as fruits, vegetables, and whole grains. These will help soften his bowel movements. Activity may help prevent constipation. Ask your child's PHP about activities that are safe for your child.

  • Ask about vaccines. Your child may need to wait for a period of time after KD to be vaccinated.

Contact your child's PHP if:

  • Your child has a fever.

  • Your child will not eat or drink, and becomes weaker.

  • Your child is taking aspirin, and has been around someone with the flu or chicken pox.

  • You have questions or concerns about your child's condition or care.

Seek care immediately or call 911 if:

  • Your child has blood coming from his nose or mouth.

  • Your child has blood in his urine or bowel movements.

  • Your child faints.

  • Your child has severe abdominal pain.

  • Your child has sudden trouble breathing.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Kawasaki Disease (Discharge Care)

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