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Peds > HEMATOLOGIC/IMMUNOLOGIC DYSFUNCTION > Flashcards

HEMATOLOGIC/IMMUNOLOGIC DYSFUNCTION Flashcards

1
Q

Signs of : IMMUNE THROMBOCYTOPENIC PURPURA

A 
platelet count under 100k
petechiae 
nose bleeds 
bleeding gums
easy bruising
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2
Q

Nursing interventions for nose bleeds from ITP

A

keep child calm and quiet
compress nostrils for 10mins
plug nose with cotton and apply cold pack to bridge of nose

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3
Q

What meds would we give for longterm treatment of bleeding with ITP

A

anti D antibodies

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4
Q

What would we give for short term treatment of bleeding from ITP

A 
IV immunoglubin (IVIG)
prednisone
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5
Q

What are the most common viral infection associated with ITP

A 
upper resp 
measles 
mumps 
rubella 
varicella 
human parvovirus
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6
Q

Best longterm care med for ITP and when to take it

A

splenectomy when the child is 5 or greater

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7
Q

What will be given to a ITP pat after a splenectomy

A

3 yrs of penicillin

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8
Q

What meds do we restrict for ITP

A

avoid ibuprofen

and aspirin but obviously bce they are a child

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9
Q

What med do we recommend to ITP pats for pain or fever

A

acetaminophen

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10
Q

Signs of sickle cell anemia

A

fatigue
fever
hand and feet swelling
joint pain

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11
Q

What is the most indicative sign of vasoocclusive sickle crisis

A

joint pain

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12
Q

What is the most important care for sickle cell

A

drink lots of water

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13
Q

Is increasing more iron for sickle cell good and why

A

no, bec RBC get broken down more rapidly releasing a lot of iron

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14
Q

Teaching for sickle cell

A

provide factual info
s/s of crisis
stress importance of immunizations

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15
Q

Why is immunizations important for sickle cell

A

infections can precipitate pain crisis

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16
Q

What nursing diag is best for sickle cell

A

altered tissue perfusion

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17
Q

What is the diag procedure for aplastic anemia

A

bone aspiration or biopsy

18
Q

What is aplastic anemia

A

decreased prod of WBC, RBC, and platelets

19
Q

What finding from a bone aspiration or biopsy would indicate aplastic anemia

A

25% or less cellularity of the bone marrow so 75% or more fat in the bone marrow

20
Q

s/s of iron def anemia

A 
irritabilty
pale skin 
fatigue 
tachycardia 
tachypnea
21
Q

How much breast milk/formula should an infant receive at 10 mo

A

no more than 24oz

22
Q

What is something to check for regarding milk and infants under a year

A

make sure the milk they get is formula or breast, cows milk’s proteins can cause problems like iron def anemia

23
Q

Should a 10mo diet be mostly milk or solid foods

A

solid foods

24
Q

teaching for ferrous sulfate

A

use syringe or med dropper bec it can stain teeth
brush teeth after
stools may change to black/tarry appearance
keep med out of reach, iron toxicity can cause death

25
Q

s/s of hemophilia A

A

prolonged bleeding
easy bruising
joint bleeding

26
Q

what is hemo A lacking

A

factor 8

27
Q

What is inheiritance pattern of hemo A

A

X linked
femals typically carriers
males typically affected

28
Q

emergency care for hemo A

A

FFP
specific factor therapy
DDAVP or vaspressant
exercise freq

29
Q

Most common internal bleed in Hemo A

A

joint bleeding

30
Q

Differences betw Wilms tumor (nephroblastoma) and neuroblastoma

A

wilms doesnt cross midline
wilms are more common in older toddler
neuroblast usu affects newborn to early toddler

31
Q

Treatment of wilms tumor

A

nephrextomy

and chemo

32
Q

nursing care for wilms tumor

A 
problems related for renal system
BP
edema
I/O
lung sounds from fluid retention 
electolytes
33
Q

What is a palpation con for wilms tumor

A

is suspected dont palp

34
Q

What percentage of children survive wilms tumors

A

90%

35
Q

What prognosis for neuroblastoma

A

poor, doesnt get caught until late

36
Q

signs of brain tumor

A

HA and vomiting, often causing them to wake up

37
Q

What is a con with HA and brain tumors

A

its an emergency, HA’s dont typically wake children so if they do its not okay

38
Q

cons for pre-op teaching before brain tumor removal

A

give info in small chunks- bec overwhelmed
repeat info
symptoms may be worse immediately after surg

39
Q

Normal symptoms in post-op for brain tumor removal

A

sleepy

worse symptoms from before like weakness, no gag reflex

40
Q

Abnormal findings that require ermergent care post op for brain tumor removal

A

CSF drainage

pupil probs like fix dilated pupils, unequal pups or pin point pups

41
Q

What position is contraindicated for post op brain tumor removal

A

trendelenburg, should be semi fowlers with head at midline

Peds (15 decks)

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