By Caroline A. Hastings
This re-creation of Handbook of Pediatric Hematology and Oncology: kid's sanatorium & learn heart Oakland good points functional information on the way to deal with universal inpatient and outpatient demanding situations visible in pediatric hematology and oncology. Designed as a fast connection with the newest diagnostic and healing protocols, the textual content is brief and didactic and supplemented with useful algorithms and case reviews all through. thoroughly revised and up-to-date, there are brand-new chapters on topics together with bone marrow transplantation, discomfort administration and palliative care. finished, but concise, the instruction manual provides crucial guidance at the prognosis and administration of the most typical pediatric blood problems and malignancies, as well as chemotherapeutic drug info and transfusion protocols.
Designed for clinical scholars, citizens, and fellows, this common moveable reference is usually the fitting significant other at the ward for pediatric hematology and oncology nurses.Content:
Chapter 1 method of the Anemic baby (pages 1–9):
Chapter 2 Hemolytic Anemia (pages 10–17):
Chapter three Sickle phone disorder (pages 18–35):
Chapter four Thalassemia (pages 36–43):
Chapter five Transfusion drugs (pages 44–56):
Chapter 6 Chelation remedy (pages 57–61):
Chapter 7 method of the Bleeding baby (pages 62–70):
Chapter eight Von Willebrand illness (pages 71–78):
Chapter nine Hemophilia (pages 79–84):
Chapter 10 the kid with Thrombosis (pages 85–91):
Chapter eleven The Neutropenic baby (pages 92–102):
Chapter 12 Thrombocytopenia (pages 103–121):
Chapter thirteen overview of the kid with a Suspected Malignancy (pages 122–132):
Chapter 14 Oncologic Emergencies (pages 133–143):
Chapter 15 Acute Leukemias (pages 144–156):
Chapter sixteen principal frightened procedure Tumors (pages 157–165):
Chapter 17 Hodgkin and Non?Hodgkin Lymphoma (pages 166–173):
Chapter 18 Wilms Tumor (pages 174–177):
Chapter 19 Neuroblastoma (pages 178–182):
Chapter 20 Sarcomas of the delicate Tissues and Bone (pages 183–192):
Chapter 21 Germ mobile Tumors (pages 193–199):
Chapter 22 infrequent Tumors of formative years (pages 200–206):
Chapter 23 Histiocytic problems (pages 207–211):
Chapter 24 Hematopoietic Stem phone Transplantation (pages 212–225):
Chapter 25 Supportive Care of the kid with melanoma (pages 226–234):
Chapter 26 relevant Venous Catheters (pages 235–243):
Chapter 27 administration of Fever within the baby with melanoma (pages 244–255):
Chapter 28 Acute discomfort administration within the Inpatient environment (pages 256–263):
Chapter 29 Palliative Care (pages 264–280):
Chapter 30 Chemotherapy fundamentals (pages 281–290):
Chapter 31 consultant to strategies (pages 291–299):
Chapter 32 remedy of Chemotherapy Extravasations (pages 300–303):
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Extra info for Handbook of Pediatric Hematology and Oncology: Children's Hospital & Research Center Oakland, Second edition
Children should have appropriate immunizations, including pneumococcal and meningococcal vaccinations, prior to splenectomy. Penicillin prophylaxis is continued indeﬁnitely in all children who have been splenectomized. Aplastic crisis Severe anemia can develop over several days due to shortened red cell survival without compensatory reticulocytosis. Reticulocytopenia can last 7 to 10 days. The primary cause of transient red cell aplasia is parvovirus B19, though it can follow other viral infections as well.
Indications Acute illnesses Splenic sequestration Transient red cell aplasia Hyperhemolysis (infection, ACS) Patients should be transfused if there is evidence of cardiovascular compromise (heart failure, dyspnea, hypertension, or marked fatigue). Generally, transfusion is indicated if the hemoglobin falls below 5 g/ dL or drops greater than 2 g/dL from the steady state. Sudden severe illness Acute chest syndrome Stroke Sepsis Acute multiorgan failure These life-threatening illnesses are often accompanied by a falling hemoglobin.
Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) are much more sensitive methods to determine intracranial infarct but can remain normal for 2 to 4 hours after an event. All catastrophic neurological events should ﬁrst be evaluated with CT since it is generally more available and will rule out acute pathology. With clinical concern prior to deﬁnitive diagnosis by MRI/MRA imaging, children are exchange transfused to achieve a concentration of Hgb S of less than 30%. Blood pressure should be continually monitored during an exchange transfusion realizing that, relative to the normal population, children with sickle cell disease are hypotensive.