ITP Case Study

Question 1

ITP stands for

Answer 1

Immune Thrombocytopenic Purpura

Question 2

what do they believe causes ITP

Answer 2

immune response to having an URI

Question 3

what age group is ITP typically found in

Answer 3

ages 2-10

Question 4

s/s of ITP

Answer 4

pin-point purpuric rash
bruises in various stages of healing
spontaneous bleeding
thrombocytopenia

Question 5

what happens in ITP

Answer 5

platelets get coated with an anti-platelet antigen, platelets decrease

Question 6

Dx of ITP

Answer 6

platelet count

Question 7

ITP is often mistaken for child abuse, t or f

Answer 7

true - bruises in various stages of healing

Question 8

trt for chronic ITP

Answer 8

splenectomy

Question 9

what are they at risk for with low platelets

Answer 9

bleeding

Question 10

interventions for ITP

Answer 10

soft padded helmet
IVIG suppresses immune response = increased platelets
bone marrow biopsy to rule out leukemia

Question 11

nurs interventions when giving IVIG

Answer 11

vitals before admin
start slowly for 1st 15 min
monitor frequently
8-12 hour infusions
pre-medicate with Benadryl/Tylenol

Question 12

Medication mgmt for ITP

Answer 12

anti-d antibody (not with splenectomy)
prednisone
platelet transfusion

Question 13

avoid these drugs with ITP

Answer 13

ASA and NSAIDS