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peds unit 6
Hematologic Problems of Children
36
Nursing
Undergraduate 1
04/03/2011

Additional Nursing Flashcards

 


 

Cards

Term
Hematologic Function
Definition

Facilitates regulation of all other body systems-directly or indirectly via blood & lymph circulating thru every tissue & organ….

Supplies & transports O2 and nutrients & hormones to body cells

Immunologic role

Term

Hematological Assessment

Skin

Definition
possible pallor, jaundice, poor turgor
Term

Hematological Assessment

general

Definition

Petechiae: (red or purple pinpoint hemorrhages) ecchymosis (bruising)

¡Bleeding

¡Swollen or tender lymph nodes

¡Infections, fever, weight loss

Term

Diagnostic Hematologic Studies

Definition

¡CBC

¡Coombs test – evaluate presence of antibodies associated with RBC’s

¡Prothrombin time (PT) & partial prothrombin time (PTT)

¡INR

¡Serum ferritin – iron stores

¡Bone marrow – assess production of RBC

Term

Hemophilia is a X-linked ______ trate

Definition
recessive 
Term

Hemophilia

Classic Type A- is deficient in what factor 

Definition
Factor VIII 
Term

Hemophilia

Classic Type A affects what % of casses

Definition
80%
Term

Hemophilia type A is mor previlent in girls.

True of fales 

Definition

Fales: it affects 1 in 5000 males

Term

Hemophilia

Type B (Christmas Disease) is a deficiency

 in what factor? 

Definition
Factor IX 
Term

Hemophilia

Type B (Christmas Disease) acounts for what percent of casses? 

Definition
15%
Term

Hemophilia- What is the # 1 goal of Treatment?

Definition
PREVENTION
Term

Hemophilia Problems withTreatment

Definition

¡Factor VIII & IX used - expensive

¡Risk of transfusion reaction & AIDS

Term

Hemophilia

Nursing Assessment 

Definition

Hematuria or flank pain (bleeding)

Intracranial bleeding – neurological checks

Term

¡What about Jehovah Witness hemophiliacs?

Definition
They die bitches, they die
Term

 

Sickle Cell Anemia 

 

Definition

 

¡Sickle shaped RBC’s causes

 Clumping of sickled cells in small vessels

 

Term

Sickle Cell Anemia is most commin in what group of people? 

Definition
1 in 375 African-Americans, 1/12 carry trait
Term

Sickle Cell Anemia at what ages dose symtomes start? 

Definition

¡4-6 mos

Term
Sickle cell crisis:  triggers
Definition
 illness, stress, cold
Term
Sickle cell crisis may cause:
Definition
Extreme pain, ↓O2 carrying capacity
Term

Iron Deficiency Anemia

two types 

Definition

¡Microcytic & hypochromic

Term

What is the most common anemia in children

Definition
Iron Deficiency Anemia 
Term

why are adolescents at risk for Iron Deficiency Anemia

 

Definition

Rapidly growing

High fat, low vitamin diet 

Term

what other group is at high rish for 

Iron Deficiency Anemia

 

Definition

¡Infants who are exclusively breast fed or receive only unfortified formula or milk

Term

Iron Deficiency Anemia

S/S:  

Definition
Pallor, fatigue, irritability, pica
Term

Iron Deficiency Anemia

Treatment 

Definition
iron supplements
Term

Anemia

Normocytic

Definition
↓ number of RBC’s, but normal size
Term

Anemia

 hypochromic

Definition

May occur as a result of hemorrhage, DIC

Term

Anemia

 Aplastic

Definition

failure of the bone marrow to produce adequate number of blood cells

Term

Anemia

 Neutropenia

Definition
thrombocytopenia
Term

Idiopathic Thrombocytopenic Purpura (ITP)

Definition

¡Autoimmune condition

l↑ destruction of platelets despite normal production in bone marrow

Term

What is the most common bleeding disorder

in children 2-10 years

Definition

Idiopathic Thrombocytopenic Purpura (ITP)

Term

Idiopathic Thrombocytopenic Purpura (ITP)

Occurs 1-3 weeks after what? 

Definition

¡a viral infection (chicken pox, measles or rubella)

Term

Idiopathic Thrombocytopenic Purpura (ITP)

S/S

Definition

Excessive bleeding, petechiae, hematuria or tarry stools

Term

Idiopathic Thrombocytopenic Purpura (ITP)

is diagnosted by?

Definition

¡Bone marrow aspiration, blood studies

Term

Idiopathic Thrombocytopenic Purpura (ITP)

treatment

Definition

¡Steroids to ↓ inflammation

Immunoglobins to ↓ autoimmunity

Term

 

Idiopathic Thrombocytopenic Purpura (ITP)

Education 

 

Definition

 

¡bleeding prevention

Teaching – always start by finding out what person you are teaching already knows about condition!!

 

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