What cancer is this?
Malignancy of Kidneys and or abdomen
Wilm's tumor
Risk Factors?
Expected Diagnostics?
What can you expect to find on a CBC for a child with Iron deficiency Anemia?
Low HGB
-Varies by age
At what age are levels adult-like?
May also se alterations in ________
Pallor, shortness of breath, fatigue, Pain, Jaundice
Sickle Cell Crisis
Child is goin for CT scan with contrast
Emotional support
Ensure there are no shellfish allergies
Ensure all contrast is taken
Educate on what to expect
Malignancy that occurs in the Adrenal gland, sympathetic chain of the retropeitoneal area, head, neck pelvis or chest
Neuroblastoma
Manifestations?
Expected diagnostic procedures?
What can you expect to find on a CBC for a child In a sickle cell crisis?
Low HGB
High WBC
increased Bili and Retic
Peripheral blood smear with sickled cells
Bleeding gums, Nosebleeds, Blood in urine, Bruising with minor injuries
Hemophilias
A child is experiencing dry mouth/mucositis after undergoing Chemo
Educate on avoiding non acidic foods
assess pain level/administer pain meds
Lubricate lips
Soft toothbrush/swabs
Most common soft tissue malignancy in children
Rhabdomyosarcoma
Affected age Group?
Expected findings?
What can you expect to find on a CBC for a child with Hemophilia A?
Deficiency in Factor 8
This is classic Hemophilia and occurs in 80%
Of cases
Tachycardia, Pallor, fatigue, Brittle spoon shaped nails, cravings for ice paper or dirt
Iron deficiency anemia
A child has loss of appetite after Chemo
Provide support
Encourage high caloric supplements
Small frequent meals
Anti emetics
Monitor electrolytes
Involve the child in meal planning
Most common cancer in childhood
Leukemia
What's the main Pathophysiology of leukemia?
What are some early/late manifestations?
What can you expect to find on a CBC for a child with Hemophlia B?
Deficiency of Factor 9
Anemia, Neutropenia, Thrombocytopenia, Immature, WBC
Blood Neoplasm (leukemias)
Child is about to start Chemo for the first time. What can they Expect?
Nausea/Vomiting
Nutritional deficiency
Possibility of skin breakdown
Bleeding
Suppressed immune system
Malignancy that can be found in the shafts of the long bones and the and of the trunk bones
Ewing's Sarcoma
What treatments can be expected?
What can you expect to find on a CBC for a child with Von Willebrand?
Deficiency of the von Willebrand factor proteins
Prevents platelets from aggregating
Non specific bone pains that are relieved when the extremity is flexed, Palpable lymph nodes near the are of pain
Bone neoplasms
A child starts losing hair after Chemo
Prepare in advance for hair loss
Use of hats , scarves, wigs- discussion ahead of time
Emotional support- body image disturbance
Educate about when to expect regrowth: 3-6 months after therapy