Laboratory Studies
| Consider Inflammatory Conditions That May Manifest With Fever and Shock | |
| Kawaski Disease | While rare, shock may be present in children with Kawasaki disease (Çakan et al., 2016) |
| Multisystem Inflammatory Syndrome | See Multisystem Inflammatory Syndrome in Children (MIS-C) Care Process Model for recommended laboratory studies |
References
Çakan, M., Gemici, H., Aktay-Ayaz, N., Keskindemirci, G., Bornaun, H., Ikizoğlu, T., & Çelliker, A. (2016). Kawasaki disease shock syndrome: A rare and severe complication of Kawasaki disease. Turkish Journal of Pediatrics, 58(4), 415-418. https://doi.org/10.24953/turkjped.2016.04.012
Pomerantz, W.J., & Weiss, S.L., (2022). Systematic inflammatory response syndrome (SIRS) and speis in children: Definitions, epidemiology, clinical manifestations, and diagnosis. UpToDate. Retrieved February 8, 2023, from https://www.uptodate.com/contents/systemic-inflmmatory-response-syndrome-sirs-and-sepsis-in-children-definitions-epidemiology-clinical-manifestations-and-diagnosis
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.