#ir #peds
Anticipatory Guidance for Kawasaki Disease
Aspirin
Children are typically prescribed a low dose of aspirin to be taken for six to eight weeks.
Since aspirin can cause gastrointestinal bleeding and other problems, parents should watch
for warning signs, such as a stomachache or blood in the stool.
Aspirin can cause children to bruise easily, so certain activities should be avoided.
Parents should also make sure the child is not exposed to anyone with the flu or chicken pox
to avoid the risk of Reye's syndrome, which has been linked to aspirin use in these illnesses.
Influenza vaccine
Children should receive the flu vaccine.
Anti-inflammatories
The arthritis from Kawasaki's disease is always temporary, but can be uncomfortable.
If a child is having difficulty walking or is in pain, the physician may prescribe an antiinflammatory
medication.
Physical therapy may also be helpful, or parents may receive a list of exercises to do at
home.
Monitor for fever
If the child has symptoms of fever, parents should take their child's temperature and alert their
physician.
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CLIPP 11 - Kawasakigy follow-up with a repeat echocardiogram is needed. In Kawasaki disease, if
coronary artery aneurysms develop, they usually do so within four weeks of the acute illness, so a
follow-up visit at one to two weeks is recommended.
<span>Anticipatory Guidance for Kawasaki Disease
Aspirin
Children are typically prescribed a low dose of aspirin to be taken for six to eight weeks.
Since aspirin can cause gastrointestinal bleeding and other problems, parents should watch
for warning signs, such as a stomachache or blood in the stool.
Aspirin can cause children to bruise easily, so certain activities should be avoided.
Parents should also make sure the child is not exposed to anyone with the flu or chicken pox
to avoid the risk of Reye's syndrome, which has been linked to aspirin use in these illnesses.
Influenza vaccine
Children should receive the flu vaccine.
Anti-inflammatories
The arthritis from Kawasaki's disease is always temporary, but can be uncomfortable.
If a child is having difficulty walking or is in pain, the physician may prescribe an antiinflammatory
medication.
Physical therapy may also be helpful, or parents may receive a list of exercises to do at
home.
Monitor for fever
If the child has symptoms of fever, parents should take their child's temperature and alert their
physician.
References
Diagnostic Standards and Classification of Tuberculosis in Adults and Children. Official Statement
13/15
of the American Thoracic Society and the Centers Summary
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