Nursing Care of a Child with Kawasaki Disease with Multiple Coronary Artery Tumors Compli-cated with Coronary Thrombosis Undergoing Extremely Low-Dose tPA Thrombolysis
To summarize the nursing experience of a case of Kawasaki disease with multiple coronary artery tumors complicated with coronary thrombosis treated with very low-dose tissue plasminogen activator(tPA)thrombolysis.Nursing care focused on selecting an intravenous regimen for tPA infusion,determining baseline coag-ulation status and compliance with tPA infusion criteria,passively reducing the dose of tPA infusion to induce slowing(or cessation)of local hemorrhage,enhancing observation and management of cardiac and extracardiac complications,and developing an individualized tPA weaning regimen to ensure anticoagulation continuity.After 16 days of active treatment and careful nursing,the child was successfully treated and discharged smoothly.
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维普
