SIGNS AND SYMPTOMS
Pallor, HGB, RBC, HCT(low) tachycardia, murmur, growth retardation, O2 stat low
Signs Of Anemia
Best vitamin to take with IRON
Vitamin C
Originates in the marrow, trunk bones upper or lower extremities
Ewing Sarcoma
If patient is Neutropenia what are we doing?
Sign on the door, hand hygiene, food need to be cooked(no fresh veggies) Nurse needs to put mask on.
No sick visitors.
Private Room
No fresh flowers, plants or fruit
Teaching for iron
We take it with a straw, needs to be taken on with empty stomach, iron can cause black tarry stool, and constipation(GI disturbance), IT is BEST TAKEN WITH VITAMIN C, GIVE EXCLUSIVELY TO BABIES AT 4 MONTHS - Introduce baby to rice cereals (Mother stops giving iron at that age)
Usually Picky Eaters, may need nutritional supplements, it is preventable, most common in children 12 months - 36 months
Iron deficiency Anemia
What can causes a crises
Trauma, dehydration, stress, infection(temp elevated)
mimics growing pains, pain, limping
Osteosarcoma
As health provider what is the Priority of the nurse who has a sickle cell patient?
1. To Start IV LINE (normal saline) HYDRATION
2. Pain management
3. PRN OXYGEN
If your child spikes a temp and has sickle cell what should you do?
Bring them in, we have to be proactive
Patient has just has a blood transfusion and is complaining of headache and blood pressure drops this indicates?
Hemolytic Reaction
Normal HGB for children
1-6 years old 9.5 - 14
6-18 years old 10 - 15.5
Kidney Tumor, will feel a bulge on flank assessment, one-sided mass, fever, hypertension(occasionally) anemia(pelvis, tachycardia, heart murmurs)
Wilms Tumor
In Blood Transfusion Interventions
2 RN's to verify blood and bar code of new bag.
yh - tubing
We only run normal saline
first hour check vitals every 15 mins
If you don't bring your child in if there going through a crises this may cause?
Acute Chest Syndrome and CVA(STROKE)
A genetic disorder, deficiency of factor VII(8) prolonged bleeding, bruising(easily), Spontaneous Hematuria, Hemarthritits (Knees look swollen, bleeding joints, limping)
Hemophilia
Adolescence in death?
Have mature understanding of death.
They may rebel, feel frustrated, angry
Respect Privacy. Think funerals are uneccerary.
May feel alone.
Allow friends to come in.
Heterochromia (TWO DIFFERENT COLOR EYES) white reflex glow, cat eye glow, strabismus(cross-eyed)
Retinoblastoma
For Wilms Tumor nurses shouldn't
Palpate abdomen can spread
What care do we give Neuroblastoma patients?
Palliative
abdominal Gi cancer, primary in the abdomen, poor prognosis, silent tumor, firm non tender mass in abdomen
Neuroblastoma
Signs of Impending death
loss of sensation and movement, loss of sense, confusion, muscle weakness, loss of bowel/bladder control, decrease in appetite and thirst, weak slow pulse, decreased bp, change in respiratory pattern
Side effects for chemo treatments
Mucosal ulceration, nausea and vomiting, anemia, alopecia, neuralgic issues, cause WBC TO DECREASE
God will allow me to pass my exam
Yes
RICE
Rest - helps with cardiac demands, decrease heart rate
ICE - helps reduce swelling, less blood flow vasoconstriction, reduce bleeding
ELEVATION- INCREASE VENOUS RETURN TO THE HEART RATE'