儿童血液病(全英文版).pptVIP

Dietary management 2 Some food aid in the absorption of iron: vitC, amino acid, fructose Infants: breast-feeding is recommended and add iron-rich food or iron-fortified food: fortified formulas or fortified salts in time Premature/LBW: parents need to be counseled on iron supplements Nursing interventions IDA can be a great way to get children to get more iron Instruct the administration of iron 1 Information: the daily requirements of iron, the correct dose and treatment course of iron supplement for the child with IDA Iron supplements should be placed beyond the touch of child Oral iron given between meals, with vitC/ juice Nursing interventions IDA Instruct the administration of iron 2 Liquid iron taken with a straw/ syringe/ medicine dropper Brushing the teeth after administering the drug Explain the black/ tarry green stools to the parents after taken oral iron Injection of iron: injected deeply into a large muscle mass using the Z-track method, changing injection site every time. No massage to the injection site. IDA Nursing interventions Observe treatment effects Peripheral reticulocytosis is noted with 3-4 days of therapy A rise in the HB level Improved symptoms as fatigue, irritation, anorexia in 2 weeks No response until 3-4 ws of therapy, identify the causes of failure Nursing interventions IDA Infection control Admitting noninfectious room Restricting visitors or hospital personnel with active infection Practicing thorough handwashing Maintain adequate nutrition Monitor signs of infection: T, leukocytosis IDA Nursing interventions Health education Teach parents and child about the related knowledge and nursing considerations of IDA Counsel parents diet and administration of therapy Prevent reoccurrence to maintain normal growth and development that child insists on balanced diet and healthy diet habits after correction of anemia Minimize sense of inferiority to the child with lower intelligence or lower academic per