Flashcards in T3 - Blueprint 2 (Josh) Deck (54)
Hallmarks of DIC are -- and --
What are the Vaso-occlusive complicatons w/ SCD?
Pain assoc. w/ obstructed blood flow and ischemia
Why is the Spleen effected by SCD?
Splenic sequestration caused by pooled blood, which enlarges the spleen significantly.
Treat with blood transfusion.
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.
Why is iron deficiency anemia common in infancy?
cow's milk too soon
Hemophilia A and B are X-linked recessive disorders which means that -- are more likely to get it.
- remember the Punnet Square
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)
What is the definitive test for SCD?
- mearsures the various HGBs
- differentiates b/t trait and anemia
--- is a secondary disorder of coagulation that occurs as a complication of a number of pathologic processes.
DIC (Disseminated Intravascular Coagulation)
What is the analgesia of choice for SCD pain?
Why is Kawasaki Disease serious?
can lead to MI
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
Prevention of RHD?
uses ASPIRIN for polyarthitits (inflammation f joints)
Hemophilia --- is more common and is a deficiency in ---
A (80% of cases)
Stopping a nose bleed
sit up and slightly lean forward
pinch bridge of nose--hold about 5 minutes;
*****longer if hemophilia
What is the drug of choice to fight infection w/ SCD clients?
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)
Aplastic Crisis is caused by --- and leads to --- and ----
human parvo virus
S/S of RHD:
What is SubQ Nodules?
Small, hard, nontender swellings
Contain Aschoff bodies
What are the Ophthalmic complications with SCD?
hemmhorage and retinal detachment that can lead to blindness
S/S of RHD:
What is Sydenhams Chorea?
sudden, aimless, purposeles movements
- relieved by rest and sleep
RICE treatment for Hemophila
Prevention for Hemophilia clients:
soft bristle toothbrushes
RICE (rest, ice, compression, elevation)
Screening tests for Hgb are limited because...
they are not specific for trait or anemia
--- is systematic vasculitis.
SCD is an --- disease with an average lifespan of ---
Hgb count for Iron Deficiency Anemia.
What can be given to increase clotting w/ Hemophilia clients?
Factor VIII and Factor IX
via port-a-cath at home
S/S of Kawasaki Disease
Ring around Iris
Rash (skin peels off in flakes)