Planning and implementation of nursing care - haemophilia, Biology

Planning of Nursing Care

  1. Prevent and control  bleeding.
  2. Administer replacement therapy of factor VIII and IX as advised. 
  3. Educate and support the patient and family. 

Implementation of Nursing Care 

Prevent and Control Bleeding 

You as a nurse have to provide a safe and soothing environment  to  the child. The finger nails should be kept  short to  avoid scratching. Avoid using diaper pins (in infants) or use with caution. Provide soft  toys without sharp comers. Soft tooth brushes should be used to clean teeth and child should be given soft foods.Child  should not be unnecessarily restricted and should be given freedom but contact sports should be avoided. Bleeding  from open wounds  should be controlled by pressure bandage, cold compresses, and local use of  thrombin, gelatin foam or  fibrin. As far as possible cautery  and suturing of wounds should be avoided. 

Replacement  Therapy 

Fresh blood 15-20 ml/kg within  six hours of collection  should be used. Antihaemophilic globulin factor VIlI and IX  available  in the form of cryoprecipitate made from fresh plasma is also used in dosage of 100-  150 units kg/24 hours. It is your duty to administer  or assist in  administering fresh blood, plasma or  cryoprecipitate,  promptly and sufficiently  to achieve and maintain a haemostatic level of  factor VIII between 20 to 25per cent and watch for any untowerd reaction. 

Provide Education and Support 

After haemophilia is diagnosed  in the child and when the parent learn about it they feel , depressed and somewhat guilty about this disease. Parent education regarding  the disease can help them provide normal life  to  their affected child. This will help  them  to minimise  the  effect of disease on growth and development  of the child. Your education will help  them to relieve depression. Tell the parents to  give the child same guidance as a normal child. 

The parents and child are  taught  to  identify the signs of bleeding  and how to carry out their transfusion procedure. This prevents repeated hospitalisation  and promotes  their involvement  in the  self care of child. 

When child is prone  to  spontaneous bleeding replacement factor is given prophylactically. Parents  and child are educated and informed about cummunity support and resources for such diseases. Genetic counselling  is given for child bearing  families.  

Posted Date: 10/27/2012 1:05:29 AM | Location : United States







Related Discussions:- Planning and implementation of nursing care - haemophilia, Assignment Help, Ask Question on Planning and implementation of nursing care - haemophilia, Get Answer, Expert's Help, Planning and implementation of nursing care - haemophilia Discussions

Write discussion on Planning and implementation of nursing care - haemophilia
Your posts are moderated
Related Questions
Nuclear run-on is a technique used to estimate the relative rate of the transcription of a given gene, as opposed to steady-state level of the mRNA transcript (which is influenced

Conventional CABG on Cardiopulmonary Bypass   Chest is opened by midline incision and median sternotomy. Simultaneously saphenous vein or radial artery is harvested. 'T

A Collective Study performed on Asian Chinese Normotensive Population to Obtain Healthy Normal Range of some Waveform Indices  Background-  Arterial blood pressure waveforms c

Explain transports of substances or materials in the membrane by the help of Lipid-anchored proteins with examles

Define Cardiovascular endurance Component for physical fitness? In our previous section on work capacity, concepts of aerobic capacity Vo2 max were described. Cardiovascular en

What is recombination frequency? The Recombination frequency, or crossing over rate, is the percentage of recombinant gametes made by crossing over (in relation to the number o

Wind pollinated flowers are: 1. Small, brightly coloured, producing large number of pollen grains 2. Small, producing large number of dry pollen grains 3. Large producing

Q. Requirements of vitamins during congestive cardiac failure? Vitamins: The requirements of all vitamins remain the same as per the RDI. If the patient is also suffering from

Q. What is an evolutionary tree? Is there a precise evolutionary tree known by science that explains the emergence and origin of every type of living being? Evolutionary tree i

Types of Surgery :  Pulmonary valve replacement using pulmonary or aortic allograft is the procedure of choice. It increases R.V. ejection fraction, decreases R.V. end diastolic p