Summary

This document provides information on managing the care for pediatric patients with alterations in cellular regulation. It covers a range of topics including childhood cancers (like leukemia and lymphoma), blood disorders (like sickle cell anemia and hemophilia), and iron deficiency anemia. The document also discusses the role of the interdisciplinary team in patient care.

Full Transcript

Managing the care for pediatric patients with alterations in cellular regulation. Module 12 12. 1 Describe the concept of cellular regulation 12. 2 Recall the interrelated concepts of mobility, nutrition, perfusion, oxygenation, and immunity. 12.3 I...

Managing the care for pediatric patients with alterations in cellular regulation. Module 12 12. 1 Describe the concept of cellular regulation 12. 2 Recall the interrelated concepts of mobility, nutrition, perfusion, oxygenation, and immunity. 12.3 Identify the pathophysiology, etiology, clinical manifestations, and nursing considerations for patients with alterations in cellular regulation related to childhood cancers, including acute myeloid leukemia, acute lymphocytic leukemia, Hodgkin lymphoma, non-Hodgkin’s lymphoma, Wilm’s tumor, and osteosarcoma. 12.4 Compare and contrast treatment modalities and nursing considerations for childhood cancers, including Module 12 chemotherapy, hematopoietic stem cell transplantation, and surgery. 12.5 Recall the pathophysiology, etiology, clinical manifestations, treatment strategies, and nursing considerations objectives for patients with blood disorders, including sickle cell anemia. 12.6. Identify the pathophysiology, etiology, clinical manifestations, treatment strategies, and nursing considerations for patients with blood disorders, including Hemophilia A and B and Von Willebrand, thalassemia, idiopathic thrombocytopenia purpura. 12.7. Recall the pathophysiology, etiology, clinical manifestations, treatment strategies, and nursing considerations for patients with blood disorders 12.8. Identify the pathophysiology, etiology, clinical manifestations, treatment strategies, and nursing considerations for iron deficiency anemia. 12.9. Identify the pathophysiology, etiology, clinical manifestations, treatment strategies, and nursing considerations for patients with blood disorders resulting from environmental factors such as lead exposure. 12.10. Describe the role of the interdisciplinary team in caring for children with alterations in cellular growth. 12. 1 Describe the concept of cellular regulation Cellular regulation ▪ 12. 2 Recall the interrelated concepts of mobility, nutrition, perfusion, oxygenation, and immunity. listen up to 9 minutes !! Concepts 12. 3 Identify the pathophysiology, etiology, clinical manifestations, and nursing considerations for patients with alterations in cellular regulation related to childhood cancers, including acute myeloid leukemia, acute lymphocytic leukemia, Hodgkin lymphoma, non- Hodgkin’s lymphoma, Wilm’s tumor, and osteosarcoma. Leukemia- a form of cancer in which abnormal and rapid formation of white blood cells (WBCs) leads to circulation of increased numbers of abnormal, immature WBCs Manifestations include fatigue, pallor, weight loss, bruising, unusual bleeding, recurrent infections, joint or bone pain, and weakness. ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Nursing considerations: managing complications such as infection, pain, anemia, bleeding, adverse effects r/t treatment and providing emotional support. ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Nursing Considerations: managing adverse effects from Chemotherapy. Monitor breathing for NHL Childhood cancers ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ 12. 4 Compare and contrast treatment modalities and nursing considerations for childhood cancers, including chemotherapy, hematopoietic stem cell transplantation, and surgery. Chemotherapy ▪ ▪ ▪ ▪ ▪ ▪ other ▪ ~ can carry organisms (botulism) ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Hematopoietic Stem Cell transplant ▪ ▪ ▪ Treatment modalities ▪ ▪ ▪ ▪ ▪ Watchful waiting… ▪ 12. 5 Recall the pathophysiology, etiology, clinical manifestations, treatment strategies, and nursing considerations for patients with blood disorders, including sickle cell anemia. Sickle Cell Anemia ▪ ▪ ▪ Sickle Cell Anemia Disease where abnormal sickle hemoglobin (HbS) replace normal hemoglobin. Due to sickling cells, increased blood viscosity, obstruction of blood flow, and tissue hypoxia (leads to ischemia and results in pain). Sickle cell crisis ~ constantto Nursing Care for SCA ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Medications for SCA ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ 12. 6 Identify the pathophysiology, etiology, clinical manifestations, treatment strategies, and nursing considerations for patients with blood disorders, including Hemophilia A and B and Von Willebrand, thalassemia, idiopathic thrombocytopenia purpura. Hemophilia A and B Group of bleeding disorders characterized by difficulty controlling bleeding ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Von Willebrand ▪ ▪ ▪ ▪ Thalassemia Reduced production of hemoglobin. Anemia results from defective synthesis of Hgb, structurally impaired RBCs, and shortened life of RBCs ▪ Inherited, autosomal recessive disease- mostly African or Mediterranean decent ▪ Both parents must be carriers to have offspring with disease ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Idiopathic Thrombocytopenia Purpura ▪ ▪ ▪ ▪ 12. 7 Recall the pathophysiology, etiology, clinical manifestations, treatment strategies, and nursing considerations for patients with blood disorders Blood disorders ▪ ▪ ▪ Anemia ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ 12.8 Identify the pathophysiology, etiology, clinical manifestations, treatment strategies, and nursing considerations for iron deficiency anemia. Iron Deficiency Anemia ▪ ▪ ▪ Treatments for Iron deficiency anemia ▪ ▪ ▪ 12.9 Identify the pathophysiology, etiology, clinical manifestations, treatment strategies, and nursing considerations for patients with blood disorders resulting from environmental factors such as lead exposure. Lead exposure ▪ ▪ ▪ ▪ Sources of Lead & Risk factors 12.10 Describe the role of the interdisciplinary team in caring for children with alterations in cellular growth. Interdisciplinary Team ▪ ▪ ▪ ▪ ▪ ▪ ▪

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