Nursing Care Of A Pediatric Patient Diagnosed With COVID-19 And MIS-C: A Case Report

Authors : Nalan Karaoğlan, Aslı Çatikoğlu, Hatice Yildirim Sari, Ilker Devrim

Pages : 140-149

View : 74 | Download : 87

Publication Date : 2023-10-23

Article Type : Other Papers

Abstract :This case report was prepared to explain the nursing care of a child diagnosed with MIS-C (Multisystem Inflammatory Syndrome in Children) secondary to COVID-19 infection, which can present with fever, cough, shortness of breath and difficulty breathing in children and can cause pneumonia, acute respiratory failure, renal failure and even death. A 6-year-old boy was broughtto the emergency department of a tertiary pediatric hospital due to complaints such as fever, abdominal pain and rashes on the hands and feet. Following his COVID-19 rapid antibody test, which came positive, he was admitted to the infectious diseases clinic of the hospital. The child was initially observedin the COVID-19 clinic for 4 daysand later was transferred to the pediatric intensive care unit (PICU) due to his clinical picture worsening. After the observation of his treatmentin the PICU for 4 days, he was retransferred to the COVID-19 clinic. On his physical examination at admission, lymphadenopathy, perioral lesion, hyperemia of the tonsils, strawberry tongue, redness of the eyes, and erythematous rashes on the bilateral palms, bilateral soles and lateral parts weredetected. In the following days, intravenous immunoglobulin (IVIG), dopamine infusion and furosemide infusion and other drugs were administered to the patient because he developed diarrhea, vomiting, sinus tachycardia, and hypotension symptoms. The patient was treated in accordance with the diagnoses of hyperthermia, impaired tissue perfusion, fluid volume deficiency, activity intolerance, diarrhea, fluid volume deficiency, nutritional imbalance: undernutrition/risk of body requirement, risk of transmission of infection and risk of developing secondary infection, lack of self-care, anxiety and social labelling. The patient who was conscious, had no additional complaints and had no growth in his blood cultures, whose vital signs were stable and clinical findings showed improvement was discharged with recommendations.
Keywords : COVID 19, çocuk, hemşirelik bakımı, MİS C