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Flashcards in T3 - Blueprint 2 (Josh) Deck (54)
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1

Hallmarks of DIC are -- and --

bleeding

clotting

2

What are the Vaso-occlusive complicatons w/ SCD?

Stroke

Pain assoc. w/ obstructed blood flow and ischemia

3

Why is the Spleen effected by SCD?

Splenic sequestration caused by pooled blood, which enlarges the spleen significantly.

Treat with blood transfusion.

4

Patho of DIC

When the clotting process gets started abnormally. Thrombin is made faster than body can neutralize it.

This is bad because the child is susceptible to uncontrollable hemorrhage into vital organs.

5

Why is iron deficiency anemia common in infancy?

cow's milk too soon

6

Hemophilia A and B are X-linked recessive disorders which means that -- are more likely to get it.

boys

- remember the Punnet Square

7

Pathophysiology of Kawasaki Disease

inflammation in the walls of medium-sized arteries throughout the body (including the coronary arteries, which supply blood to heart muscle)

8

What is the definitive test for SCD?

Hbg Electrophoresis

- mearsures the various HGBs
- differentiates b/t trait and anemia

9

--- is a secondary disorder of coagulation that occurs as a complication of a number of pathologic processes.

DIC (Disseminated Intravascular Coagulation)

10

What is the analgesia of choice for SCD pain?

IV morphine

11

Why is Kawasaki Disease serious?

can lead to MI

12

S/S of RHD:

What is Erythema Marginatum

Classic eruption of RF

Flat, macular, circular, distinct wavy border (chicken wire--no itching) on trunk or arms

13

Prevention of RHD?

uses ASPIRIN for polyarthitits (inflammation f joints)

14

Hemophilia --- is more common and is a deficiency in ---

A (80% of cases)

Factor VIII

15

Stopping a nose bleed

sit up and slightly lean forward

pinch bridge of nose--hold about 5 minutes;

*****longer if hemophilia

16

What is the drug of choice to fight infection w/ SCD clients?

Penicillin

17

What is one of the first S/S of Vaso-occlusive complications w/ SCD?

Hand and Foot Syndrome (dactylitis)

- sausage finger
- inflammation of an entire digit (finger/toe)

18

SCD problems:

Aplastic Crisis is caused by --- and leads to --- and ----

human parvo virus

lowered Hgb

lethargy

19

S/S of RHD:

What is SubQ Nodules?

Small, hard, nontender swellings

Contain Aschoff bodies

20

What are the Ophthalmic complications with SCD?

hemmhorage and retinal detachment that can lead to blindness

21

S/S of RHD:

What is Sydenhams Chorea?

sudden, aimless, purposeles movements

- relieved by rest and sleep

22

RICE treatment for Hemophila

Rest

Ice

Compression

Elevation

23

Prevention for Hemophilia clients:

padded crib

clutter-free (tripping)

soft bristle toothbrushes

immunizations

RICE (rest, ice, compression, elevation)

24

Screening tests for Hgb are limited because...

they are not specific for trait or anemia

25

--- is systematic vasculitis.

Kawasaki Disease

26

SCD is an --- disease with an average lifespan of ---

inherited

45 years

27

Hgb count for Iron Deficiency Anemia.

6-11 g/dL

28

What can be given to increase clotting w/ Hemophilia clients?

Factor VIII and Factor IX

via port-a-cath at home

29

S/S of Kawasaki Disease

High Fever

Red Eyes

Ring around Iris

Strawberry Tongue

Rash (skin peels off in flakes)

30

S/S of Endocarditis

Low grade, intermittent fever

Malaise

Joint Pain (arthralgia)

New Murmur