Treatment Protocols for Kawasaki Disease
Kawasaki Disease Stages - Acute and convalescent stages with specific treatments.
Long-term Therapy for Coronary Abnormalities - Aspirin 3-5 mg/kg daily; Clopidogrel 1 mg/kg.
Methylprednisolone for Poor Response - 30 mg/kg/day for 3 days if IVIG fails.
Pediatric Cardiologist Role - Supervises fibrinolytic therapy for acute coronary issues.
Re-treatment for IVIG Resistance - Another 2g/kg IVIG dose for resistant patients.
Warfarin or LMWH - Added for high-risk thrombosis patients
Acute Coronary Thrombosis Treatment - Fibrinolytic therapy with tPA under cardiologist
supervision.
Aspirin Dosage in Acute Stage - 80-100 mg/kg/day divided every 6 hours orally.
Aspirin Dosage in Convalescent Stage - 3-5 mg/kg once daily for 6-8 weeks.
Aspirin for Aneurysm Patients - Indefinite aspirin for patients with solitary aneurysms.
Clopidogrel Maximum Dose - Maximum 75 mg/day for Kawasaki patients.
Coronary Artery Abnormalities (CAA) - Increased risk with persistent fever after IVIG.
Kawasaki Disease Stages - Acute and convalescent stages with specific treatments.
Long-term Therapy for Coronary Abnormalities - Aspirin 3-5 mg/kg daily; Clopidogrel 1 mg/kg.
Methylprednisolone for Poor Response - 30 mg/kg/day for 3 days if IVIG fails.
Pediatric Cardiologist Role - Supervises fibrinolytic therapy for acute coronary issues.
Re-treatment for IVIG Resistance - Another 2g/kg IVIG dose for resistant patients.
Warfarin or LMWH - Added for high-risk thrombosis patients
Acute Coronary Thrombosis Treatment - Fibrinolytic therapy with tPA under cardiologist
supervision.
Aspirin Dosage in Acute Stage - 80-100 mg/kg/day divided every 6 hours orally.
Aspirin Dosage in Convalescent Stage - 3-5 mg/kg once daily for 6-8 weeks.
Aspirin for Aneurysm Patients - Indefinite aspirin for patients with solitary aneurysms.
Clopidogrel Maximum Dose - Maximum 75 mg/day for Kawasaki patients.
Coronary Artery Abnormalities (CAA) - Increased risk with persistent fever after IVIG.
