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Flashcards in Heme part 1 Deck (40)
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1

An x-linked recessive disorder transmitted by females and predominantly found in male offsprings

Haemophilia, in this disease, a group of bleeding disorders characterized by a deficiency in a blood clotting factor

2

Cara just delivered a baby that has excessive bleeding from the umbilical cord after it is cut. What disease do you think this newborn has?

Haemophilia. The nurse should also assess for bruising, nose bleeds, deep internal bleeding, and joint damage.

3

Haemophilia mangement includes:

meds (Factor VIII, Advate for Factor XI), DDAVP (increases the level of factor VIII), medic-alert bracelet, injury prevention, reg. dental diet, and no aspirin or aspiring like meds

4

Scotty, a 6 year old was recently diagnosed with Hemophilia. As his nurse, what are you going to educate mom about?

ANY head trauma= factor infusion, bleeding episodes need immediate attention, limitation in sports but encourage reg. exercise, make sure child wears medic-alert bracelet, and no aspirin or aspirin-like meds

5

Peety Pablo comes into the ED complaining of a headache when he work up, blurry vision and vomiting. He denies nausea though. What could he possible have?

Brain tumor. Patients with brain tumors typically will have a headache when awakening, vomiting without nausea, loss of concentration, change in behavior and vision problems

6

#1 disease related death in children

Cancer

7

Most common childhood cancer

leukemia

8

Most common solid tumor

brai

9

What is the most common presenting symptom of brain tumors

headache on awakening

10

Pain, fever, weakness, cachexia, anemia, persisten vomiting, headache, infection, and bruising are all what?

Clinical presentations of brain tumors

11

In an assessment of a infant with a brain tumor, what might you find?

widening sutures, increasing frontal occipital circumference, and tense/buldging fontanel

12

Post op care for brain tumor includes:

observing for increased ICP and seizures, monitor I and O, and appropriate post-op positioning

13

While monitoring I and O, what are you specifically looking out for?

SIADH and DI

14

Upon assessment, your patinet has voided a large amount of dilute urine. Since he is post-op brain tumor removal, what might this patient be exhibiting?

Diabetes insipidus caused by a deficiency in antidiuretic hormon. When ADH is inadequate, the renal tubules do not absorb water, leading to polyuria

15

Most postop clients with infratentorial (lower portion of back of the head) tumors are prescribed to:

lie flat or turn to either side

16

T or F, a large tumor may require that the child not be turned to the operative side

TRUE

17

Suctioning, coughing, and straining can all cause :

increased ICP

18

Malignant, encapsulated renal tumor

Wilm's Tumor- usually affects young, preschoolers

19

Clinical manifestations of Wilm's tumor include:

abdominal mass in flank area, confided to midline (usually discovered by parents), fever, pallor, lethargy, ^ BP (excess renin secretion)

20

You are the nursing caring for 5 year old Billie who has a Wilm's Tumor. What should you make sure you NEVER do to this patient?

NO abdominal palpation

21

Most kids with Wilm's Tumor undergo a nephrectomy, what is included in their post-op care?

Watch for ^ BP, monitor kidney function (I & O, urine specific gravity), maintain NG tube, check for bowel sounds, and support family during chemo and radiation

22

This form of childhood cancer attacks the developing nerve cells in the adrenal gland

Neuroblastoma also called the "Silent Tumor"

23

Onset of Neurblastoma

22 months of age

24

Clinical manifestations of Neuroblastoma

May have weight loss, irritability, and fever.

25

What is the INSS?

Internation Neuroblastoma Staging System

26

Stage 1

localized tumor with COMPLETE gross excision (lymph noded may be positive)

27

Stage 2A

localized tumor with INCOMPLETE gross excision (lymph nodes negative)

28

Stage 2B

localized tumor WITH OR WITHOUT complete gross excision, with ipsilateral nonadherent lymph noded positive for tumor

29

Stage 3

unresectable unilateral tumor infiltrating across the midline, with or without regional lymph node involvement; or localized unilateral tumor with contralateral regional lymph node involvement; or midline tumor with bilateral extension by infiltration (unresectable) or by lymph node involvement

30

Stage 4

any primary tumor with dissemination to distant lymph nodes, bone, bone marrow, liver, skin, and/or other organ (except as defined by 4S)