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Essential information for nursing professionals and caregivers on managing various blood conditions. Topics include iron supplement absorption, preventing iron poisoning, caring for children with sickle cell disease, medication safety alerts, and complications in the care of leukemic children. It also emphasizes the importance of educating parents and significant others.
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Oral iron supplements should not be ingested with milk or milk products because milk interferes with iron absorption. TERM 2
DEFINITION 2 Prevent iron poisoning in children by keeping preparations well out of reach. Educate parents about this hazard. TERM 3
DEFINITION 3 During sickle cell crises, anticipate the childs need for tissue oxygenation, hydration, rest, protection from infection, pain control, blood transfusion, and emotional support for this life-threatening illness. TERM 4
DEFINITION 4 Meperidine (Demerol) should not be used for pain control in children with sickle cell disease due to risk of seizures. TERM 5
DEFINITION 5 It is essential to teach parents the signs and symptoms of dehydration, hypoxia, and infection to prevent the occurrence of sickle cell crisis.
Cold or hot compresses should not be used to relieve pain in a child with sickle cell anemia, because cold promotes sickling and ischemia, and ischemic tissues have reduced sensation and therefore burns can occur. TERM 7
DEFINITION 7 A classic symptom of hemophilia is bleeding into the joints (hemarthrosis). TERM 8
DEFINITION 8 Drugs that contain salicylates are contraindicated for use in children with hemophilia. TERM 9
DEFINITION 9 The bruises of idiopathic (immunological) thrombocytopenic purpura (ITP) must be distinguished from those of child abuse. TERM 10
DEFINITION 10 After administration of anti-D antibody the child should be observed for 1 hour for fever, chills, headache, or alteration in vital signs.
Grandparents, teachers, and friends are also grieving. Be alert for the emotional responses of all of the significant others.