Hemophilia Active Learning Template sys Dis 3 PDF

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Download Hemophilia Active Learning Template sys Dis 3 PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

ST UDENT NAME _____________________________________

Hemophilia DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem

Ineffective Tissue Perfusion

1. Easy bruising 2. Prolonged bleeding from wounds 3. Spontaneous hematuria 4. Epistaxis 5. Hemarthrosis (hemorrhages in the joints causing pain, swelling and limited movement)

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention A genetic disorder

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

•Hemarthrosis •Traumatic injury to muscles prolonged bleeding or hemorrhage

Laboratory Tests

Hemarthrosis (bleeding into joint) is the main manifestation of the disease. Common sites include the elbows, shoulders, hips, knees, and ankle joints.

Avoid strenuous activity Emphasize avoidance of aspirin and aspirin-containing compounds

Diagnostic Procedures

. CBC will reveal a normal plate count.

DNA testing for hemophilia A will detect carriers of the disease Amniocentesis will diagnose hemophilia prenatally.

PATIENT-CENTERED CARE

Nursing Care 1.Assess the cause of bleeding 2.Assess skin color, hematoma, cyanosis 3.Collaboration in the provision of adequate IVFD 4.Collaboration in the provision of blood transfusion 5.Give the deficient clotting factor or plasma, as ordered. 6.Apply cold compress or ice bags and raise the injured part. 7.To prevent recurrence of bleeding, restrict activity for 48 hours after bleeding is under control. 8.Control pain with an analgesics, as ordered. 9.Monitor output and income 10.Monitor vital signs

Therapeutic Procedures blood or plasma transfusions

ACTIVE LEARNING TEMPLATES

Complications Medications clotting factor products, Desmopressin, first aid for minor cuts, vaccinations

Client Education 1.Provide emotional support, and listen to the patient’s fear’s and concerns. 2.Tell the patient to avoid heavy lifting and using power tools because they risk of injury that can result in serious bleeding problem. 3.Advise the patient to notify the doctor immediately after even a minor injury 4.Teach the patient the importance of protecting his veins fo lifelong therapy.

Interprofessional Care Patients with hemophilia are at risk of spontaneous bleeding was controlled so that the required monitoring every move that allows the occurrence of injury

1. Bone changes, osteoporosis and muscle atrophy, resulting in crippling deformities as a consequence of hemarthrosis 2. Intracranial bleeding 3. Gastrointestinal hemorrhage, leading to intestinal obstruction 4. Hematomas in the spinal cord, resulting in paralysis 5. Airway obstruction due to bleeding into the neck, mouth or thorax

THERAPEUTIC PROCEDURE

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