Cardiovascular and Hematologic Disorders in Children
NSG 6435 Week 5 Discussion Latest SU
NSG 6435 Week 5 Discussion Latest SU
NSG 6435 Week 5 Discussion
Discussion: iHuman Case Study – Cardiovascular and Hematologic Disorders in Children
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.For this assignment, make sure you post your initial response to the Discussion Area.
To support your work, use your course textbook readings and the South University Online Library.As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible.Respond to at least two of your classmates’ initial postings.Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.Cite sources in your responses to other classmates.Complete your participation for this assignment.
For this assignment, you will complete an iHuman case study based on the course objectives and weekly content.iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum.Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The iHuman assignments are highly interactive and a dynamic way to enhance your learning.Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.
Here you can view information on how to access and navigate iHuman.
This week, complete the iHuman case titled “Robert Ross.”
Apply information from the iHuman Case Study to answer the following questions:
Robert Ross is a 17 year-old male who presents with acute chest pain, palpitations, fever and malaise.He has had symptoms suggestive of a viral syndrome for the past week, but otherwise has no significant past medical history.
What questions would you ask to gather important diagnostic information?
How would you diagnose and manage this 17 year old male whose symptoms include palpitations, fever and malaise?
Which diagnostic studies would you recommend for this patient.Include the rationale for ALL diagnostics and Labs?
What physical exam findings and diagnostic results would be concerning to you and why? What would be three differentials in this case? Identify additional life threatening diagnoses that must be considered when a patient presents with acute chest pain.
What is the treatment (including rationale) for Robert and education for the family?
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Cardiovascular and Hematologic Disorders in Children
Introduction
Children are not the same as adults. They have different challenges, and their minds and bodies are still developing. As parents, it’s important to recognize that your child is still growing and developing even when things seem like they’re going well. It’s also important for parents to understand how stress can affect their children’s health, especially cardiovascular disease (CVD).
Cardiovascular disorders
Cardiovascular disorders are a broad category of diseases that affect the heart and blood vessels. They include coronary artery disease, stroke and hypertension.
Cardiovascular disease is the leading cause of death in the United States, accounting for one-third of all deaths each year.
Congenital heart disease
Congenital heart disease is the most common birth defect, affecting about 5% of babies. The heart has a hole, or an abnormal valve, which can lead to blood not flowing as it should through the body. It also may be too small for proper function or have too many chambers and walls that are irregularly shaped.
The first step in treating congenital heart defects is identifying them early so you can start treatment before serious problems develop later on in childhood or adulthood.
Kawasaki disease
Kawasaki disease is a condition that affects the blood vessels, heart and other organs. It is most common in children under 5 years old, but can occur in older children and adults.
Kawasaki disease causes inflammation of the small blood vessels (capillaries) near your skin’s surface, which leads to capillary leakage into surrounding tissues such as muscles or joints. This can cause pain or swelling at the site where you feel it most acutely on your body such as your face or throat area; these areas may also become red or swollen like shingles (herpes labialis).
Rheumatic fever
Rheumatic fever is an inflammatory disease of the heart and joints that can occur in children. It usually affects the heart, but it can also affect other parts of your child’s body.
Signs and symptoms of rheumatic fever include:
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Sudden swollen joints (arthritis)
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Fever with rash, sweating and chills that last for at least 2 weeks
Systemic lupus erythematosus (SLE)
SLE is a chronic autoimmune disease that causes immune system attacks on the body’s tissues and organs. The most common symptoms of SLE include:
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Rash, itching and redness of the skin
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Fatigue or weakness (especially in the morning)
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Swollen joints that may be tender and painful to touch (swollen fingers are often swollen, not just aching)
SLE can affect anyone at any age but it is more common in women than men. Studies show that about 1% of children under 18 years old have SLE—but if left untreated it can lead to organ damage or death.
Hematologic disorders
Hematologic disorders include anemia and sickle cell anemia. Anemia is a condition in which the number of red blood cells (RBCs) is too low to support normal bodily function. Iron deficiency, folate deficiency, vitamin B12 and folic acid deficiencies may cause anemia. Other causes include medications that interfere with iron absorption or use of diuretics during pregnancy to reduce fluid retention (which can lead to hypotension).
Leukemia
Leukemia is a cancer of the blood and bone marrow. It can be caused by genetic predisposition, exposure to other cancers or toxic substances, or immune system problems. Symptoms include fatigue, fever, chills and night sweats along with bleeding and bruising. Treatment options include chemotherapy and radiation therapy as well as bone marrow transplantation (stem cell transplant).
Sickle cell anemia
Sickle cell anemia is a genetic disease that affects red blood cells, causing them to be misshapen and block blood flow. The sickle cell trait is inherited from your parents and can be passed on to children. In healthy people, the hemoglobin in their red blood cells (the protein inside) attaches itself at right angles to the head of their structures—this makes it easy for oxygen-rich liquid (plasma) to flow through the body with each heartbeat. When this happens, we call it “normal” hemoglobin production!
However, if there’s too much damage done during early development or later on when you’re an adult—or both—then these changes may cause your body’s ability to produce normal hemoglobin levels begin failing as well.*
Hemophilia
Hemophilia is a bleeding disorder caused by a lack of blood clotting proteins. Hemophilia can be passed from mother to child through the X chromosome, and it can occur in both boys and girls. Boys are more likely to get hemophilia than girls because they inherit one X chromosome from their mothers (and two Y chromosomes from their fathers). Girls have two X chromosomes; however, they also have an extra set of genes on non-sex chromosomes called “XO” or “XXY.” These extra genes cause them to produce less of one type of protein called factor IX than other people do—so when someone has hemophilia with no symptoms like bruises or cuts on their arms/legs because he/she doesn’t have enough factor IX circulating in his/her body at all times then doctors call this type “classic” hemophilia since there isn’t any evidence that another abnormal gene might be causing this condition as well.”
You can motivate yourself without being mean to yourself.
A great way to motivate yourself is by setting goals. Goals are things you want to achieve in your life, and they give you something specific to work towards. For example, if you want more energy than what’s available naturally (and who doesn’t?), then set a goal of waking up at 6am every day so that you can have time for exercise before school starts!
Another great way to motivate yourself is by rewarding yourself when the goals are met. This could be anything from watching an episode of your favorite show or buying something new at Target—it doesn’t matter what it is as long as it makes happy tears stream down your face when those rewards arrive at their destination.
Finally, there’s kindness: being kind towards yourself will help keep those negative thoughts away while also making sure they don’t stick around long enough for any bad habits
to form themselves into habits!
Conclusion
Just remember that you are not alone. If you feel sad, frustrated or angry at yourself, it is normal to feel those emotions. No one expects perfection and we all make mistakes. We hope this article has helped you understand your own needs better so that when the time comes for treatment or self-care, you won’t forget about them because of those pesky feelings!
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