Flashcards in The Pale Child Deck (22)
Normal Hb in newborn?
DO2 = CO X HB X Sp02 X 1.31(amount of O2 ml carried by 1g of Hb
how to ask Diet for assessment
Chronological: change: transition to solids, meats
Breast milk good source of iron?
Yes. 6 months. Then need iron fortified cereals or meats
How to ask about anaemia in child?
Symptoms - fatigue, lethargy, pallor, dizziness
Look for bruising in case more insidious cause
Sites of bleeding? IBS?
how can Cow's milk cause iron deficiency?
Poor source, poor bioavailability.
When is iron transferred across placenta?
When to start iron supplementation in premature baby
Not right away, increased risk of ecoli and other bacteria.
Start around 4 weeks.
Bloods Ix for anaemia in child
Iron Studies: be careful cause acute phase reactant
REd cell distribution (RDW), how does it look in anaemia?
Oral supplementation in kids, what to tell parents?
give with Vit. C, stool will go black, constipation
Not on empty stomach.
Keep it safe. Overdose.
Brush teeth after. May stain.
Acute effects of iron overdose
Inflammation of GI mucosa and ulceration/perforation/strictures
How long do you take oral for?
At least a few months. 2 months.
How can you tell iron supplementation is working?
Within 72 hours. Reticulocyte count should come up
Signs of thalassemia major
Hyper trophy of maxillary bones, more bone marrow
How to decide if need a blood transfusion?
1. Do they need one? Level(guideline only), symptoms
2. Factors: comorbidities
4. Progressive? Eg. Leukaemia
What to do after you decide they need a blood transfusion
After consent to blood transfusion, do what?
Group and Crossmatch
Kg x deltaHb X 3or4 = ml. g/dL
How long will a bag of blood last outside of fridge?
How long do you give blood over?
What do you add if child is normovolaemic with blood transfusion?