blood
All blood cells form from
Multipotent stem cell
What is anemia
Condition in which the level of RBC's is lower than normal due to destruction, decreased production or loss
Old furniture/toys
Homes built before 1987 (paint)
Ceramics or stained glass
Lead pipes in older homes
Adopted children (lower standards)
Soil with old leaded gas
Name 4 iron rich foods
Eggs
Red meat
Leafy green veggies
Dried beans, peas, and fruits
Tofu
Tuna and salmon
Should you use warm or cold compresses for a child with a sickle cell crisis
Warm
What are the 4 main parts of blood
RBC, WBC, plasma, Plt
What is b-thalasemia
Ineffective production and destruction of red blood cells
List 4 factors in iron supplementation
If liquid it can stain teeth, use a straw
4-6mg daily
Iron can cause GI upset
Use stool softener if constipated from iron
Have mom increase iron while breastfeeding
What is the life span of a sickled RBC
10-20 days
What is GVHD
Graft vs host disease
When T-cells from donated stem cells attack the stem cell recipients own cells
Iron stores are build up in the fetus during what months of pregnancy
Last 3 months
How is b-thalassemia inherited
Autosomal recessive
How is sickle cell anemia inherited
Autosomal recessive
Education with hemophilia
No contact sports
Avoid rectal temps and IM injections
Injury prevention
Medical alert bracelet
CVC care
Ensure clean dressing
Don't allow it to fall to the floor
Watch for s/s of infection
When are the maternal iron stores depleted in an infant
4-6 months
What does EPO stand for
Erythropoietin
What disorder will the RBC's be hypochromic and microcytic. Also define those 2 terms
Iron deficiency anemia
Hypo- light in color
Micro- small
Name 3 HSCT complications
GVHD
Failure of transplant
Infections
Impaired growth and fertility
Lung and heart disease
Necrosis of the bone
Secondary cancers
When is Chemet used and nursing considerations associated
Lead toxicity
Capsules contain small beads that can be mixed with food
Can NOT be given through a syringe (will clog it)
What is ITP, what is seen with it, and what should be avoided
(Idiopathic thrombocytopenia purpura) An autoimmune response after a viral infection that causes a decrease in platelets in the blood
Petechiae, purpura, bruising, bleeding
Avoid NSAIDS
When is Dimercaprol used and what are nursing considerations associated
Lead toxicity BLL >70
IM Q4 (use lido to make it less painful)
Dont give to patients with peanut allergy
Can cause toxic complex when mixed with iron
What coag factor is affected with hemophilia A
Factor VIII
When is CaNA2EDTA used and nursing considerations associated with it
Lead toxicity BLL >70
IM/IV for 5 days
When used alone without dimercaprol can cause cerebral edema
Used in combo with dimercaprol
What hemosiderosis and hemochromatosis associated with and what is the definition of those
b-thalassemia major
Hemosiderosis- Excessive iron supply as a result of rapid RBC hemolysis withOUT tissue damage (excess iron leads to a bronze pigment)
Hemochromatosis- Excessive iron supply WITH cellular damage (can compromise cardiac function)