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ST.

PAUL UNIVERSITY MANILA


(St. Paul University System)
680 Pedro Gil St., Malate, Manila, Philippines
Tel. No. 5245687 Fax No.:(632) 5260410
Website: www.spumanila.edu.ph.

NURSING CARE MANAGEMENT 109:


CARE OF MOTHER AND CHILD AT RISK OR WITH PROBLEMS
(ACUTE AND CHRONIC)

MODULE 1: CARE OF CHILD WITH HEMATOLOGIC DISORDER

Outcome of the Module:


At the end of this module, the learners will be able to:
1. Review the Hematopoietic System
2. Describe common Hematologic Disorders seen in children.
3. Determine how to Assess a child with Hematologic Disorders
4. Formulate nursing diagnoses for a child with Hematologic Disorders.
5. Develop expected outcomes for a child with Hematologic Disorders.
6. Plan nursing care for a child with Hematologic Disorders.
7. Determine nursing care interventions and management for a child with Hematologic
Disorders.

Notes on Hematologic System and Disorders:


The blood and blood-forming tissues that make up the hematologic system play a vital
role in body metabolism: transporting oxygen and nutrients to body cells, removing carbon
dioxide from cells, and initiating blood coagulation when vessels are injured. As a result, any
alteration in the substance or function of blood or its components can have immediate and life-
threatening effects on the functioning of all body systems. For instance, an alteration in the
process of coagulation can result in death from acute and uncontrollable blood loss. Inadequate
red cell formation results in decreased oxygenation in tissues
Hematologic disorders, often called blood dyscrasias, occur when components of the blood
are formed incorrectly or either increase or decrease in amount beyond normal ranges. Most
blood dyscrasias in children originate in the bone marrow, where blood cells are formed. Blood
dyscrasias do not occur at equal rates in all countries, because many of these disorders are
inherited. Being aware of the differences in the incidence of blood dyscrasias this way can be
helpful in planning care and providing health care services for children and communities.
Treatment for blood disorders can be culturally influenced as well (Pillitteri and Silbert-
Flagg,2018, Linker, 2009).
 Review Hematologic Systems
 Answer attached pdf file regarding Nursing Care of Child with Hematologic Disorder Self-
Directed Learning for March 30,2020

1
Student: Year level/Section: CI: Mary Grace Cu, MAN, RN
(Family Name) (Given Name) (Middle Initial) (Clinical Instructor’s Name)

NCM 109: Care of Mother and Child at Risk or with Problems (Acute And Chronic) Module 1
MGGMMORADACU2020
Reference:
Pillitteri, Adele and Silbert-Flagg, JoAnne (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family 8th Edition. Unit 7, Chapter 44 Nursing Care of a Family
When a Child Has a Hematologic Disorder page 1289-1317

Activity 1: Watch Hematopoietic System for March 30, 2020


Instructions:
1. Watch the following video/s
 Anatomy and Physiology of the Hematopoietic System
o Hematopoiesis | Hematologic System Diseases | NCLEX-RN | Khan Academy. Video
from Academy posted last. Retrieved from last March 18, 2020.
 Anatomy and Physiology of the Hematopoietic System
o The Components of Blood and Their Importance. Video from American Society of
Hematology posted last Aug 2, 2018. Retrieved from
https://www.youtube.com/watch?v=VSVYgivfs9c last March 18, 2020.
 Red Blood Cell
o Red Blood Cell Life Cycle. Video from Armando Hasudungan posted last Sep 29, 2014.
Retrieved from https://www.youtube.com/watch?v=cATQFej6oAc last March 18,
2020.

Activity 2: Answer Nursing Care of Child with Hematologic Disorder Self-Directed


Learning for March 30, 2020
Instructions:
1. Print the PDF File attached herewith in a long bond paper. (If student do not have printer
at home and to avoid going out of home to maintain to community quarantine protocols,
student may use a plain short bond paper, provided that questions on each item will be
written before the answer)
2. Start answering the column provided by the SDL.
3. Output must be hand written (write legibly).
4. Take a picture of your output, make a pic collage and send it on the comment box below
on April 01, 2020 (Wednesday) NO later than 5:00 pm and A picture of your output (one
picture per page) send it to mgmcu@spumanila.edu.ph. Hard copy will be submitted at
the Nursing Office once classes resume.

for your info and guidance

Due for submission: April 01, 2020 (Wednesday) NO later than 5:00pm (PH and US time)
extended till April 04, 2020 (Saturday) if with internet connection problem.
Submit to: Facebook Group: Maternal and Child Nursing - BSN 2 Private Group and
to Ms. Mary Grace Morada Cu, MAN, RN at mgmcu@spumanila.edu.ph

2
Student: Year level/Section: CI: Mary Grace Cu, MAN, RN
(Family Name) (Given Name) (Middle Initial) (Clinical Instructor’s Name)

NCM 109: Care of Mother and Child at Risk or with Problems (Acute And Chronic) Module 1
MGGMMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF RED BLOOD CELLS (RBC)

NORMOCHROMIC, NORMOCYIC ANEMIA:

Disorders & Cause/s Diagnosis Assessment Nursing Diagnosis Planning Intervention


Description (Therapeutic
Management)
Acute Blood-Loss
Anemia:

Anemia of Acute
Infection:

Anemia of Renal
Disease:

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF RED BLOOD CELLS (RBC)
NORMOCHROMIC, NORMOCYIC ANEMIA: (cont)
Disorders & Cause/s Diagnosis Assessment Nursing Diagnosis Planning Intervention
Description (Therapeutic
Management)
Anemia of Neoplastic
Disease:

Hypersplenism:

Aplastic Anemias:

Hypoplastic Anemias:

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF RED BLOOD CELLS (RBC)
HYPOCHROMIC ANEMIAS:

Disorders & Cause/s Diagnosis Assessment Nursing Diagnosis Planning Intervention


Description (Therapeutic
Management)
Iron-Deficiency Anemia:

Chronic Infection
Anemia:

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF RED BLOOD CELLS (RBC)
MACROCYTIC (MEGALOBLASTIC) ANEMIAS:

Disorders & Cause/s Diagnosis Assessment Nursing Diagnosis Planning Intervention


Description (Therapeutic
Management)
Anemia of Folic Acid
Deficiency:

Pernicious Anemia
(Vitamin B12
Deficiency):

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF RED BLOOD CELLS (RBC)
HEMOLYTIC ANEMIAS:

Disorders & Cause/s Diagnosis Assessment Nursing Diagnosis Planning Intervention


Description (Therapeutic
Management)
Congenital
Spherocytosis:

Glucose-6-Phosphate
Dehydrogenase
Deficiency (G6PD):

Sickle-Cell Anemia:

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF RED BLOOD CELLS (RBC)
THALASSEMIAS:

Disorders & Cause/s Diagnosis Assessment Nursing Diagnosis Planning Intervention


Description (Therapeutic
Management)
Thalassemia
Minor
(Heterozygous
Beta-
Thalassemia):

Thalassemia
Major
(Homozygous
Beta-
Thalassemia):

Autoimmune Acquired
Hemolytic Anemia:

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF RED BLOOD CELLS (RBC)
POLYCYTHEMIA:

Disorders & Cause/s Diagnosis Assessment Nursing Diagnosis Planning Intervention


Description (Therapeutic
Management)
Polycythemia:

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF WHITE BLOOD CELLS (WBC)
Disorders & Cause/ Diagnosis Assessment Nursing Diagnosis Planni Intervention
Description s ng (Therapeutic
Management)
Neutropenia:

Neutrophilia:

Leukemia:

10

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF WHITE BLOOD CELLS (WBC)
Disorders & Cause/ Diagnosis Assessment Nursing Diagnosis Planning Intervention
Description s (Therapeutic
Management)
Eosinophilia:

Lymphocytosis:

11

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF BLOOD COAGULATION
PURPURAS:

Disorders & Cause/ Diagnosis Assessment Nursing Diagnosis Planni Intervention


Description s ng (Therapeutic
Management)
Idiopathic
Thrombocytopenic
Purpura:

Henoch-Schönlein
Syndrome:

12

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF BLOOD COAGULATION
DISSEMINATED INTRAVASCULAR COAGULATION:

Disorders & Cause/ Diagnosis Assessment Nursing Diagnosis Planni Intervention


Description s ng (Therapeutic
Management)
Disseminated
Intravascular
Coagulation:

13

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020
NCM 109- NURSING CARE OF CHILD WITH HEMATOLOGIC DISORDER
DISORDERS OF BLOOD COAGULATION
HEMOPHILIAS:

Disorders & Cause/ Diagnosis Assessment Nursing Diagnosis Planni Intervention


Description s ng (Therapeutic
Management)
Hemophilia A (Factor
VIII Deficiency):

von Willebrand’s
Disease:

Christmas Disease
(Hemophilia B,
Factor IX
Deficiency):

Hemophilia C (Factor XI
deficiency):

14

Name: Year/Section/ Group: Date: Clinical Instructor: MGGMoradaCu,MAN,RN


MGGMORADACU2020

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