In the paediatric ward
Children with a diagnosis of KD are managed as inpatients in the first instance and paediatric nurses will be responsible for monitoring the patient, administering medication and supporting the family (Phanmeesuk and Suksin, 2009). An essential part of nursing care is to monitor the clinical observations regularly, particularly during and after the administration of intravenous immunoglobuhn (Lux, 1991). Utilisation of the Pédiatrie Early Warning Scoring system, which has been shown to provide a forewarning time of 11 hours or less, alerts the clinical team to the possibility of early intervention (Acre et al, 2010).The nurse will also need to ensure that the child is kept as comfortable as possible by