Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
19 Cards in this Set
- Front
- Back
|
Anemia
|
Decreased number of RBCs
#1 hematologic disorder in kids Treatment based on underlying causes |
|
|
Iron Deficiency Anemia (IDA)
|
#1 cause of anemia in kids
Iron stored in fetal erythrocytes, liver, spleen, and bone marrow |
|
|
IDA Prevention
|
Iron-fortified infant formula/cereal
Iron supplements for breast-fed infants Start checking hemoglobin at 9 months |
|
|
IDA Treatment
|
Given on an empty stomach
Supplements for 3 months after Hgb normalizes Drop can stain teeth |
|
|
Iron Dosing
|
Severe: 4-6mg/kg/day in 3 doses
Mild-Mod: 3mg/kg/day in 1-2 doses |
|
|
Lead Poisoning
|
Interferes with hemoglobin production
Affects bone marrow, RBCs, kidneys, and CNS |
|
|
Sickle Cell Anemia
|
1 in 12 African Americans have the trait
African, Mediterranean, Indian, Middle Eastern decent Autosomal recessive |
|
|
Sickle Cell Anemia Symptoms
|
Begin in 2nd 6 months of life
Pale, slightly Jaundiced with splenomegaly Hgb 5-9 g/dl Increased WBC, platelets, reticulocyte counts Fever, abdominal/chest pain, swelling in hands/feet due to infarction |
|
|
SCA Complications
|
Reduced visual acuity, leg ulcers, gallstones, poor growth and development, enuresis
|
|
|
SCA Management
|
Pain - PCA pump for kids
Hydration Blood Transfusion Splenectomy |
|
|
Clotting Disorders
|
Idiopathic Thrombocytopenia Purpura (ITP)
Henoch-Schonlein Purpura (HSP) Hemophilia Von Willebrand Disease |
|
|
Idiopathic Thrombocytopenia Purpura
|
Acquired autoimmune disorder
2-10 yrs Antibodies are formed that destroy platelets Acute or Chronic Post viral |
|
|
ITP Manifestations
|
Thrombocytopenia
Purpura - bruising Normal Bone Marrow |
|
|
Henoch-Schonlein Purpura
|
Associated with a virus
Vasculitis - inflammation of vessels Skin, stomach, kidneys(nephrotic syndrom), joints are effected |
|
|
HSP Assessment
|
Rash
Pain Bleeding Education |
|
|
Hemophilia
|
X-linked recessive inheritance
Longer time to clot blood |
|
|
Hemophilia X-Linked Recessive
|
Carried only by the mother
Only boys can get hemophilia |
|
|
Von Willebrand Disease
|
Most common bleeding disorder
1-2% of population Autosomal Dominant |
|
|
Hemarthosis
|
Bleeding into a joint causing swelling
|
