Iron deficiency Anemia:
Etiology/Diagnostics:
inadequate amount of iron, children 12-36 months at risk
S/S:
tachycardia can be under weight or overweight
Treatment:
Iron rich foods (green leafy), supplements, dietary supplements, organ meats, rice cereal at 6 months.
Teaching:
No cow’s milk until the baby is 1 years old
=)
NO iron supplements with milk, give on empty stomach acid makes it absorb better.
2]
Liquid supplement can stain teach, use straw or regular iron supplement capsule/pill
2
Black tarry green stools
=]
Keep away from children, never keep more than a month supply at home
=]
Infants 30 mins before on empty, older child with something citric for the acid*
2]
Dietary counseling
=]
Sickle Cell Anemia
Main goal is to Prevent Dehydration.
Etiology/Diagnostics:
Hereditary, Autosomal recessive trait. Cells are sickle shaped. Repetitive decrease in 02 cell walls become rigid.
Cells are getting jammed, causing an obstruction of RBC’s, resulting in PAIN. The normal HGB is replaced with
abnormal HGB. Effects the spleen. Organ that’s mostly effected is the spleen* Newborn Screening in the US
Sickle cell Normal red blood cell
o
S/S:
o Vascular inflammation
o Pain-> severe abdominal pain or chest. Mid to severe from 1 min-days -> crisis
o Stroke -> Severe unrelieved headache™*
o Painful Swelling: hands, feet, joint pain
o Headache. Doesn’t go away with meds? Possible CVA. EMERGENCY™*
o One CVA? R/F another™ (stroke)
o Visual disturbances
o Obstructive jaundice
o Fever 101.3 or higher
o Severe hypoxia
, VASOCCLUSIVE Crisis:
Acute chest syndrome. Mimics pneumonia “very painful episodes”. Splenic Sequestration Pooling of blood in the spleen
caused by infection, stress, dehydration, IVMVEDIATELY HYDRATE,
HOP (Hvdrate. Oxvaenate. Pain)
Treatment:
o DON'T over oxygenate
o Heat
o Prophylactic antibiotics: R/F infection* Preventing Infection*
Vaccines, Antibiotics (PCN)
o Ifthey’'ve had a stroke, every 3-4 weeks for transfusions™ to prevent CVA
o Decrease 02 demands
o Oral/lV hydration, Oral at home to prevent hospitalization
o Splenectomy (severe)
o Stem cell Transplant: considered curative (severe)
o Rest
o Control Pain: Morphine
o Electrolyte replacement
Teaching:
o Prevent hydration
o Rest
o Improve oxygen but don’t over oxygenate
o Educate importance of vaccines
o Know s/s of a stroke
o Child is normal just gets sicker easier
Hemophilia
HEMOPHILIA
- No Cure
(ratteri
Bl ook
—fi:‘;{if—?{]flggmmote : /@ ()— Intracranial Hemorrhage
lesdtey - Prolonged Nosebleeds
“eond Nusribion Bruises Easily
- Good Dental “‘ Warm, Painful, Swollen Joints
Hygiene : ! With | Movement
- IV Administration o
Of Deficient g
Clotting & o ” Gl Hemorrhage
Factor
0o
= i T 62007 Narving Education Consultant, lnc
Missing clotting factor
Etiology/Diagnostics:
Deficiency of factor VIII, produced by the liver, bleeding disorder
Education:
Parents -> genetic counseling
S/S:
PROLONGED bleeding, kid will bleed longer than other kids, gums, cuts, injections
Hemorrhage: At higher risk
, Bruising
Hemarthrosis: blood in joints (knees, elbows, ankles)
Spontaneous Hematuria: dark urine, blood
Hematomas -> pain, swelling, limited motion
Headache
Slurred Speech
Loss of Consciousness
Black Tarry Stools= Bleed
Vomiting coffee ground emesis
Bleeding gyms with teeth brushing
Treatment:
NO cure; lifelong
o Replace VIl factor:
o Prevent bleeding: No IM vaccines, try subQ or less invasive first
Medications:
o Steroids
o NSAIDS
o DDAVP
Wear helmets
Safety, protective equipment
Regular Exercise and Physical Therapy
Go to doctor for sprains
Control Bleeding
Oncology
Pediatric Oncology
Etiology/Diagnostics: Unknown
o Some genetic alterations, chromosomal abnormalities identified
o Lifestyle factors in adult cancer generally aren’t present in childhood cancers (lung cancer), but not in
adolescents
o Lumbar Puncture: Leukemia, brain tumors, Mets to CNS
Radiology: X-ray, CT, MRI, PET
o)
o Biopsy
Labs:
CBC, CMP, LFT, coags (coagulation profile)
Treatment:
o Surgery, Chemo, radiation, BMT
S/S of treatment from Chemo:
o Infection
o Hemorrhage
o Anemia
o NNV
Etiology/Diagnostics:
inadequate amount of iron, children 12-36 months at risk
S/S:
tachycardia can be under weight or overweight
Treatment:
Iron rich foods (green leafy), supplements, dietary supplements, organ meats, rice cereal at 6 months.
Teaching:
No cow’s milk until the baby is 1 years old
=)
NO iron supplements with milk, give on empty stomach acid makes it absorb better.
2]
Liquid supplement can stain teach, use straw or regular iron supplement capsule/pill
2
Black tarry green stools
=]
Keep away from children, never keep more than a month supply at home
=]
Infants 30 mins before on empty, older child with something citric for the acid*
2]
Dietary counseling
=]
Sickle Cell Anemia
Main goal is to Prevent Dehydration.
Etiology/Diagnostics:
Hereditary, Autosomal recessive trait. Cells are sickle shaped. Repetitive decrease in 02 cell walls become rigid.
Cells are getting jammed, causing an obstruction of RBC’s, resulting in PAIN. The normal HGB is replaced with
abnormal HGB. Effects the spleen. Organ that’s mostly effected is the spleen* Newborn Screening in the US
Sickle cell Normal red blood cell
o
S/S:
o Vascular inflammation
o Pain-> severe abdominal pain or chest. Mid to severe from 1 min-days -> crisis
o Stroke -> Severe unrelieved headache™*
o Painful Swelling: hands, feet, joint pain
o Headache. Doesn’t go away with meds? Possible CVA. EMERGENCY™*
o One CVA? R/F another™ (stroke)
o Visual disturbances
o Obstructive jaundice
o Fever 101.3 or higher
o Severe hypoxia
, VASOCCLUSIVE Crisis:
Acute chest syndrome. Mimics pneumonia “very painful episodes”. Splenic Sequestration Pooling of blood in the spleen
caused by infection, stress, dehydration, IVMVEDIATELY HYDRATE,
HOP (Hvdrate. Oxvaenate. Pain)
Treatment:
o DON'T over oxygenate
o Heat
o Prophylactic antibiotics: R/F infection* Preventing Infection*
Vaccines, Antibiotics (PCN)
o Ifthey’'ve had a stroke, every 3-4 weeks for transfusions™ to prevent CVA
o Decrease 02 demands
o Oral/lV hydration, Oral at home to prevent hospitalization
o Splenectomy (severe)
o Stem cell Transplant: considered curative (severe)
o Rest
o Control Pain: Morphine
o Electrolyte replacement
Teaching:
o Prevent hydration
o Rest
o Improve oxygen but don’t over oxygenate
o Educate importance of vaccines
o Know s/s of a stroke
o Child is normal just gets sicker easier
Hemophilia
HEMOPHILIA
- No Cure
(ratteri
Bl ook
—fi:‘;{if—?{]flggmmote : /@ ()— Intracranial Hemorrhage
lesdtey - Prolonged Nosebleeds
“eond Nusribion Bruises Easily
- Good Dental “‘ Warm, Painful, Swollen Joints
Hygiene : ! With | Movement
- IV Administration o
Of Deficient g
Clotting & o ” Gl Hemorrhage
Factor
0o
= i T 62007 Narving Education Consultant, lnc
Missing clotting factor
Etiology/Diagnostics:
Deficiency of factor VIII, produced by the liver, bleeding disorder
Education:
Parents -> genetic counseling
S/S:
PROLONGED bleeding, kid will bleed longer than other kids, gums, cuts, injections
Hemorrhage: At higher risk
, Bruising
Hemarthrosis: blood in joints (knees, elbows, ankles)
Spontaneous Hematuria: dark urine, blood
Hematomas -> pain, swelling, limited motion
Headache
Slurred Speech
Loss of Consciousness
Black Tarry Stools= Bleed
Vomiting coffee ground emesis
Bleeding gyms with teeth brushing
Treatment:
NO cure; lifelong
o Replace VIl factor:
o Prevent bleeding: No IM vaccines, try subQ or less invasive first
Medications:
o Steroids
o NSAIDS
o DDAVP
Wear helmets
Safety, protective equipment
Regular Exercise and Physical Therapy
Go to doctor for sprains
Control Bleeding
Oncology
Pediatric Oncology
Etiology/Diagnostics: Unknown
o Some genetic alterations, chromosomal abnormalities identified
o Lifestyle factors in adult cancer generally aren’t present in childhood cancers (lung cancer), but not in
adolescents
o Lumbar Puncture: Leukemia, brain tumors, Mets to CNS
Radiology: X-ray, CT, MRI, PET
o)
o Biopsy
Labs:
CBC, CMP, LFT, coags (coagulation profile)
Treatment:
o Surgery, Chemo, radiation, BMT
S/S of treatment from Chemo:
o Infection
o Hemorrhage
o Anemia
o NNV
