Pediatric Lab Values
Normal hemoglobin range for a school-aged child
11.5-15.5
Most common childhood leukemia
Acute Lymphoblastic Leukemia (ALL)
First-line treatment in sickle cell crisis
O2, hydration, pain management
First actions if a child with leukemia presents with fever
Neutropenic precautions and notify provider
Iron supplements should be given with what beverage for best absorption?
Orange Juice - Vitamin C
Lab finding indicates iron deficiency anemia
Low Hgb, Low Hct, Low MCV, Low reticulocytes
Symptom triad of ALL (lethargy, bruising, ____)
Infections - Fever
What triggers should be avoided in sickle cell disease?
Cold, dehydration, stress, infection
Precaution required for severe neutropenia
Isolation, hand hygiene, no sick visitors
Critical daily habits for children receiving chemotherapy
Strict handwashing, infection prevention
This ANC level indicates severe neutropenia
<500
Why are children with ALL at risk for infection?
Low ANC - Immunosuppression
What factor is deficient in Hemophilia A?
Factor VIII
Nursing priority for child with sickle cell who reports severe leg pain
Oxygen, hydration, pain relief
What lifestyle habits should parents of a child with Sickle cell encourage?
Hydration, balanced diet, avoid triggers
In sickle cell disease, which lab test identifies sickled cells
Peripheral blood smear
Common chemotherapy side effects nurses monitor
Nausea, vomiting, hair loss, mucositis
Which intervention is contraindicated in hemophilia?
No IM injections, no aspirin/NSAIDs
Essential nursing intervention for patient with platelets < 20,000
Bleeding precautions, minimize invasive procedures
Essential safety teaching for a child with hemophilia
Avoid contact sports, use protective gear
What lab abnormality is expected in hemophilia A?
Prolonged aPTT, Low factor VIII
What is the priority nursing action if a child with ALL develops a fever?
Notify provider immediately, , start neutropenic precautions
What is the priority for a child with sickle cell who has O₂ sat 89%
Administer oxygen immediately
First step if joint bleeding occurs in hemophilia
Administer Factor VIII, RICE method
Parents of a child with ALL should call the provider immediately for what symptom?
Fever >38C/100.4F