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Questions and Answers
Which of the following is a key difference between sickle cell anemia and beta thalassemia major?
Which of the following is a key difference between sickle cell anemia and beta thalassemia major?
- Sickle cell anemia results from a point mutation in the beta-globin gene, while beta thalassemia major results from reduced or absent synthesis of the beta-globin chain. (correct)
- Sickle cell anemia and beta thalassemia major are both caused by an excess of normal hemoglobin.
- Sickle cell anemia and beta thalassemia major have the same pathophysiology and clinical manifestations.
- Sickle cell anemia and beta thalassemia major both result from a deficiency in the production of hemoglobin A.
What is the mechanism of inheritance for hemophilia?
What is the mechanism of inheritance for hemophilia?
- Y-linked
- Autosomal recessive
- X-linked recessive (correct)
- Autosomal dominant
Which of the following best describes the pathophysiology of immune thrombocytopenia (ITP)?
Which of the following best describes the pathophysiology of immune thrombocytopenia (ITP)?
- ITP is a genetic disorder resulting in the absence of platelet production.
- ITP is caused by excessive production of platelets, leading to an increased risk of thrombosis.
- ITP is characterized by the destruction of platelets by autoantibodies, leading to low platelet count and an increased risk of bleeding. (correct)
- ITP is caused by a deficiency in clotting factors, leading to impaired platelet function.
What is a key difference between leukemia and lymphoma?
What is a key difference between leukemia and lymphoma?
Which of the following is a potential effect of anemia on the circulatory system?
Which of the following is a potential effect of anemia on the circulatory system?
What is a common consequence of chronic severe anemia in children?
What is a common consequence of chronic severe anemia in children?
How is anemia severity assessed in pediatric patients?
How is anemia severity assessed in pediatric patients?
What is a key aim of therapeutic management for anemia in children?
What is a key aim of therapeutic management for anemia in children?
How may anemia be suspected in pediatric patients?
How may anemia be suspected in pediatric patients?
What is a potential cause of anemia with reduced Hgb concentration?
What is a potential cause of anemia with reduced Hgb concentration?
What are the various types of anemia classification mentioned in the text?
What are the various types of anemia classification mentioned in the text?
What is a potential effect of anemia on oxygen availability to cells?
What is a potential effect of anemia on oxygen availability to cells?
Why do children with anemia often function well despite low Hgb levels?
Why do children with anemia often function well despite low Hgb levels?
What is emphasized in the anemia assessment for pediatric patients?
What is emphasized in the anemia assessment for pediatric patients?
What may pediatric patients undergo to identify the cause of anemia?
What may pediatric patients undergo to identify the cause of anemia?
What is a potential consequence of anemia on the circulatory system?
What is a potential consequence of anemia on the circulatory system?
What is the most common hematological disorder in childhood?
What is the most common hematological disorder in childhood?
What does the reticulocyte count indicate?
What does the reticulocyte count indicate?
What is the significance of the absolute neutrophil count (ANC)?
What is the significance of the absolute neutrophil count (ANC)?
What is the purpose of the stained peripheral blood smear?
What is the purpose of the stained peripheral blood smear?
Which test is essential in identifying infections, inflammation, and other conditions?
Which test is essential in identifying infections, inflammation, and other conditions?
What do anemias classify based on?
What do anemias classify based on?
What is the role of nurses in identifying hematological dysfunction?
What is the role of nurses in identifying hematological dysfunction?
Which component is necessary for clotting to occur?
Which component is necessary for clotting to occur?
What does the WBC differential count quantify?
What does the WBC differential count quantify?
What is the index of production of mature RBCs by bone marrow?
What is the index of production of mature RBCs by bone marrow?
What is the most common and valuable test used in pediatric hematological disorders?
What is the most common and valuable test used in pediatric hematological disorders?
What is the capability indicated by the absolute neutrophil count (ANC)?
What is the capability indicated by the absolute neutrophil count (ANC)?
What is a nurse's responsibility in managing pediatric anemia?
What is a nurse's responsibility in managing pediatric anemia?
What is essential for the definitive diagnosis of certain anemias like aplastic anemia?
What is essential for the definitive diagnosis of certain anemias like aplastic anemia?
What is crucial in anemia management?
What is crucial in anemia management?
What contributes to the high prevalence of iron-deficiency anemia in Canadian Indigenous infants?
What contributes to the high prevalence of iron-deficiency anemia in Canadian Indigenous infants?
Who is at risk for iron-deficiency anemia due to rapid growth and poor eating habits?
Who is at risk for iron-deficiency anemia due to rapid growth and poor eating habits?
What can result in iron-deficiency anemia?
What can result in iron-deficiency anemia?
What is recommended for low birth weight and preterm infants?
What is recommended for low birth weight and preterm infants?
How can infant iron status be improved and the risk of iron deficiency reduced?
How can infant iron status be improved and the risk of iron deficiency reduced?
What can reduce pain during needle punctures in pediatric patients?
What can reduce pain during needle punctures in pediatric patients?
What is vital in monitoring and preventing complications in pediatric anemia?
What is vital in monitoring and preventing complications in pediatric anemia?
What are risk factors for iron-deficiency anemia?
What are risk factors for iron-deficiency anemia?
What is a method to reduce pain during needle punctures in pediatric patients?
What is a method to reduce pain during needle punctures in pediatric patients?
What is the recommended iron concentration in formula for formula-fed infants for the first 9 to 12 months?
What is the recommended iron concentration in formula for formula-fed infants for the first 9 to 12 months?
What is the reason fresh cow's milk should not be given to infants younger than 9 to 12 months?
What is the reason fresh cow's milk should not be given to infants younger than 9 to 12 months?
What is the purpose of ascorbic acid (vitamin C) in relation to iron absorption?
What is the purpose of ascorbic acid (vitamin C) in relation to iron absorption?
When is parenteral iron administration reserved for children?
When is parenteral iron administration reserved for children?
What are transfusions indicated for in children with iron-deficiency anemia?
What are transfusions indicated for in children with iron-deficiency anemia?
What is the potential association of iron-deficiency anemia with later cognitive impairments, seizures, and strokes?
What is the potential association of iron-deficiency anemia with later cognitive impairments, seizures, and strokes?
What is the initial therapeutic management of iron-deficiency anemia in children?
What is the initial therapeutic management of iron-deficiency anemia in children?
Which type of iron is more readily absorbed, leading to higher hemoglobin levels?
Which type of iron is more readily absorbed, leading to higher hemoglobin levels?
What should be done if oral therapy fails to increase hemoglobin levels after 1 month?
What should be done if oral therapy fails to increase hemoglobin levels after 1 month?
What may be necessary in addition to dietary addition of iron-rich foods for managing iron-deficiency anemia in children?
What may be necessary in addition to dietary addition of iron-rich foods for managing iron-deficiency anemia in children?
What are the recommended iron supplements for managing iron-deficiency anemia in children?
What are the recommended iron supplements for managing iron-deficiency anemia in children?
What is the role of nursing care in managing iron-deficiency anemia in children?
What is the role of nursing care in managing iron-deficiency anemia in children?
What is the main nursing consideration for children with Wiskott-Aldrich Syndrome (WAS)?
What is the main nursing consideration for children with Wiskott-Aldrich Syndrome (WAS)?
What is the only curative therapy for Wiskott-Aldrich Syndrome (WAS)?
What is the only curative therapy for Wiskott-Aldrich Syndrome (WAS)?
What may be the presenting symptom at birth for a child with Wiskott-Aldrich Syndrome (WAS)?
What may be the presenting symptom at birth for a child with Wiskott-Aldrich Syndrome (WAS)?
What is the typical characteristic of eczema in children with Wiskott-Aldrich Syndrome (WAS)?
What is the typical characteristic of eczema in children with Wiskott-Aldrich Syndrome (WAS)?
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Study Notes
Therapeutic Management of Iron-Deficiency Anemia in Children
- Iron-deficiency anemia in children is managed by increasing supplemental iron through dietary counseling and oral iron supplements.
- Formula-fed infants are recommended to consume formula containing 6.5 mg/L to 13 mg/L of iron for the first 9 to 12 months, supplemented with iron-rich foods after 6 months of age.
- Iron-fortified formula provides a predictable amount of iron without increasing gastrointestinal symptoms.
- Fresh cow's milk should not be given to infants younger than 9 to 12 months as it may increase the risk of gastrointestinal blood loss.
- Dietary addition of iron-rich foods alone may be inadequate, necessitating the prescription of oral iron supplements.
- Ferrous iron is more readily absorbed than ferric iron, leading to higher hemoglobin levels.
- Ascorbic acid (vitamin C) may aid iron absorption and can be given with iron preparations.
- If oral therapy fails to increase hemoglobin levels after 1 month, causes for anemia should be assessed.
- Parenteral iron administration is reserved for children with iron malabsorption, chronic hemoglobinuria, or intolerance to oral preparations.
- Transfusions are indicated for severe anemia, serious infection, cardiac dysfunction, or surgical emergencies requiring anesthesia, with packed RBCs used to minimize circulatory overload.
- Iron-deficiency anemia may be associated with later cognitive impairments, seizures, strokes, and other adverse effects, although not unequivocally established.
- Nursing care involves educating parents on iron administration, monitoring for adverse effects, and preventing nutritional anemia through family education and dietary recommendations.
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