Hemophilia

Hemophilia is a rare disorder in which the blood doesn't clot normally because it
lacks sufficient blood-clotting proteins causing the blood longer time to clot normally

 Hemophilia A is an X-linked, recessive disorder caused by the deficiency

of functional plasma clotting factor VIII (FVIII), which may be inherited or
arise from spontaneous mutation.
 Hemophilia B, or Christmas disease, is an inherited, X-linked, recessive
disorder that results in the deficiency of functional plasma coagulation factor
IX.

Hemophilia is( genetic cause ) caused by a mutation or change, in one of the genes,
that provides instructions for making the clotting factor proteins needed to form a
blood clot

Hemophilia has signs and symptoms such as:

Unexplained and excessive bleeding from cuts or injuries
Many large or deep bruises
Unusual bleeding after vaccination
Pain, tightness, and swelling in joints
Blood in urine or stool
Nosebleeds without a known cause

How to treat hemophilia?

Nursing role with hemophilia patients:

Relieve the pain - Immobilize joints and apply elastic bandages to the affected joint if
indicated
Maintain optimal physical mobility - Provide gentle, passive ROM exercise when the
child’s condition is stable; educate on preventive measures
Assist in the coping of the family - Encourage family members to verbalize problem
areas and develop solutions on their own; encourage family members to express
feelings
Prevent injury

Prevent bleeding - Monitor hemoglobin and hematocrit levels; assess for inhibitor
antibody to factor VIII; anticipate or instruct in the need for prophylactic treatment before
high-risk situation