NUR 254 Exam 4
Study online at https://quizlet.com/_f7x5rj
1. Iron deficien- inadequate amount of iron, children 12-36 months at risk
cy Anemia:Etiolo-
gy/Diagnostics
2. Iron deficiency -tachy
Anemia: S/S -can be underweight or overweight
3. Iron deficiency -Iron rich foods (green leafy), supplements, dietary supplements, organ meats,
Anemia: treat- rice cereal at 6 months,
ment
4. Iron deficiency - No cow's milk until the baby is 1 years old
Anemia: Teach- -NO iron supplements with milk, give on empty stomach acid makes it absorb
ing beer*
o Liquid supplement can stain teach, use straw or regular iron supplement
capsule/pill
o Black tarry green stools
o Keep away from children, never keep more than a month supply at home
o Infants 30 mins before on empty, older child with something citric for the acid*
o Dietary counseling
5. Sickle Cell Ane- Prevent Dehydration
mia: Important*
6. Sickle Cell Ane- -Hereditary, Autosomal recessive trait.
mia: Etiology/Di- -Cells are sickle shaped. -Repetitive decrease in 02 cell walls become rigid.
agnostics -Cells are getting jammed, causing an obstruction of RBC's, resulting in PAIN.
-The normal HGB is replaced with abnormal HGB.
-Effects the spleen.
o Organ that's mostly effected is the spleen*
o Newborn Screening in the US
7.
, NUR 254 Exam 4
Study online at https://quizlet.com/_f7x5rj
Sickle Cell Ane- o Vascular inflammation
mia: S/S 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
8. Sickle Cell Ane- -: Acute chest syndrome
mia: VASOCCLU- -mimics pneumonia "painful episode"
SIVE Crisis
9. Sickle Cell Ane- -Pooling of blood in the spleen
mia: Splenic Se- -Causes infection, stress, dehydration, *USE IV FLUIDS***
questration -trauma
10. Sickle Cell Ane- o DON'T over oxygenate o Heat
mia: treatment o Prophylactic antibiotics: R/F infection* Preventing Infection* ( Vaccines, Anbiocs
(PCN))
o If they've had a stroke, every 3-4 weeks for transfusions* to prevent CVA
o Decrease 02 demands
o Oral/IV 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
11. Sickle Cell Ane- o Prevent hydration
mia: Teaching o Rest
, NUR 254 Exam 4
Study online at https://quizlet.com/_f7x5rj
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
12. Hemophilia: MIssing clotting factors
term
13. Hemophilia:Etiol- Deficiency of factor VIII, produced by the liver, bleeding disorder
ogy/Diagnostics
14. Hemophilia: edu- Parents -> genetic counseling
cation
15. Hemophilia: S/S o PROLONGED bleeding, kid will bleed longer than other kids, gums, cuts, injec-
tions
o Hemorrhage: At higher risk
o Bruising
o Hemarthrosis: blood in joints (knees, elbows, ankles)
o Spontaneous Hematuria: dark urine, blood
o Hematomas -> pain, swelling, limited motion
o Headache
o Slurred Speech
o Loss of Consciousness
o Black Tarry Stools= Bleed
o Vomiting coffee ground emesis
o Bleeding gyms with teeth brushing
16. Hemophilia: -NO cure; lifelong
Treatment o Replace VIII factor:
o Prevent bleeding: No IM vaccines, try subQ or less invasive first
o Medications
, NUR 254 Exam 4
Study online at https://quizlet.com/_f7x5rj
Steroids
NSAIDS
DDAVP
o Wear helmets
o Safety, protective equipment
o Regular Exercise and Physical Therapy
o Go to doctor for sprains
o Control Bleeding
R: Rest
I: ICE
C: Compress (cold)**
E: Elevate
17. Pediatric Oncol- -Unknown
ogy: Etiology/Di- o Some genetic alterations, chromosomal abnormalities identified
agnostics o Lifestyle factors in adult cancer generally aren't present in childhood cancers
(lung cancer), but not in adolescents
o Labs: CBC, CMP, LFT, coags (coagulation profile)
o Lumbar Puncture: Leukemia, brain tumors, Mets to CNS
o Radiology: X-ray, CT, MRI, PET
o Biopsy
18. Pediatric Oncolo- Surgery, Chemo, radiation, BMT
gy: Treatment:
19. Pediatric Oncolo- o Infection
gy: S/S of treat- o Hemorrhage
ment o Anemia
o N/V
o Altered nutrition
o Mucosal Ulceration: GI tract is one big mucosal membrane; kid can have ulcer
Study online at https://quizlet.com/_f7x5rj
1. Iron deficien- inadequate amount of iron, children 12-36 months at risk
cy Anemia:Etiolo-
gy/Diagnostics
2. Iron deficiency -tachy
Anemia: S/S -can be underweight or overweight
3. Iron deficiency -Iron rich foods (green leafy), supplements, dietary supplements, organ meats,
Anemia: treat- rice cereal at 6 months,
ment
4. Iron deficiency - No cow's milk until the baby is 1 years old
Anemia: Teach- -NO iron supplements with milk, give on empty stomach acid makes it absorb
ing beer*
o Liquid supplement can stain teach, use straw or regular iron supplement
capsule/pill
o Black tarry green stools
o Keep away from children, never keep more than a month supply at home
o Infants 30 mins before on empty, older child with something citric for the acid*
o Dietary counseling
5. Sickle Cell Ane- Prevent Dehydration
mia: Important*
6. Sickle Cell Ane- -Hereditary, Autosomal recessive trait.
mia: Etiology/Di- -Cells are sickle shaped. -Repetitive decrease in 02 cell walls become rigid.
agnostics -Cells are getting jammed, causing an obstruction of RBC's, resulting in PAIN.
-The normal HGB is replaced with abnormal HGB.
-Effects the spleen.
o Organ that's mostly effected is the spleen*
o Newborn Screening in the US
7.
, NUR 254 Exam 4
Study online at https://quizlet.com/_f7x5rj
Sickle Cell Ane- o Vascular inflammation
mia: S/S 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
8. Sickle Cell Ane- -: Acute chest syndrome
mia: VASOCCLU- -mimics pneumonia "painful episode"
SIVE Crisis
9. Sickle Cell Ane- -Pooling of blood in the spleen
mia: Splenic Se- -Causes infection, stress, dehydration, *USE IV FLUIDS***
questration -trauma
10. Sickle Cell Ane- o DON'T over oxygenate o Heat
mia: treatment o Prophylactic antibiotics: R/F infection* Preventing Infection* ( Vaccines, Anbiocs
(PCN))
o If they've had a stroke, every 3-4 weeks for transfusions* to prevent CVA
o Decrease 02 demands
o Oral/IV 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
11. Sickle Cell Ane- o Prevent hydration
mia: Teaching o Rest
, NUR 254 Exam 4
Study online at https://quizlet.com/_f7x5rj
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
12. Hemophilia: MIssing clotting factors
term
13. Hemophilia:Etiol- Deficiency of factor VIII, produced by the liver, bleeding disorder
ogy/Diagnostics
14. Hemophilia: edu- Parents -> genetic counseling
cation
15. Hemophilia: S/S o PROLONGED bleeding, kid will bleed longer than other kids, gums, cuts, injec-
tions
o Hemorrhage: At higher risk
o Bruising
o Hemarthrosis: blood in joints (knees, elbows, ankles)
o Spontaneous Hematuria: dark urine, blood
o Hematomas -> pain, swelling, limited motion
o Headache
o Slurred Speech
o Loss of Consciousness
o Black Tarry Stools= Bleed
o Vomiting coffee ground emesis
o Bleeding gyms with teeth brushing
16. Hemophilia: -NO cure; lifelong
Treatment o Replace VIII factor:
o Prevent bleeding: No IM vaccines, try subQ or less invasive first
o Medications
, NUR 254 Exam 4
Study online at https://quizlet.com/_f7x5rj
Steroids
NSAIDS
DDAVP
o Wear helmets
o Safety, protective equipment
o Regular Exercise and Physical Therapy
o Go to doctor for sprains
o Control Bleeding
R: Rest
I: ICE
C: Compress (cold)**
E: Elevate
17. Pediatric Oncol- -Unknown
ogy: Etiology/Di- o Some genetic alterations, chromosomal abnormalities identified
agnostics o Lifestyle factors in adult cancer generally aren't present in childhood cancers
(lung cancer), but not in adolescents
o Labs: CBC, CMP, LFT, coags (coagulation profile)
o Lumbar Puncture: Leukemia, brain tumors, Mets to CNS
o Radiology: X-ray, CT, MRI, PET
o Biopsy
18. Pediatric Oncolo- Surgery, Chemo, radiation, BMT
gy: Treatment:
19. Pediatric Oncolo- o Infection
gy: S/S of treat- o Hemorrhage
ment o Anemia
o N/V
o Altered nutrition
o Mucosal Ulceration: GI tract is one big mucosal membrane; kid can have ulcer
