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• NURSING CAIR IN PATEINTS WITH HEMOPHILIA • A-SAFI • The supper wiser of esfahan hemophilia center Important notices • You must be know whats hemophilia • You must be know about bleedings • You must be know about clotting factors Where do bleeds happen in the body? • Joints as: • Shulder-elbow-hip-knee-ankle • Muscles as: • The upper arm-forearm-back and front of the thigh-calf-illiopsoas The sighns of bleeding • Feel tingling and heat in joints or muscle by patient(its very important for treating) • Pain • Heat • Swelling • Limited movment Which bleeds are life threatening? • Head • Throat • Gut When should treatment be given? • When the patient recognises it. • In childs not using a limb as much • After any accident Side effects of ferequent bleeding • • • • Arthritis Choronic pain Limited momvement Muscle wasting How is treated? • replacement therapy by clotting factors as : • Factor concentrates • Cryo – ffp What else can be done? R-Rest I -Ice C-Compress E- Elevation FACTOR 8 • • • • packing:250-500U storage:2-8oc dosage:20u/kg Spead of injection: 1cc/min FACTOR 9 • • • • Packing:500-1000U Storage:2-4oc Dosage:35-70u/kg Spead of injection:50100u/min FIEBA • • • • Packing:500-1000u Storage:2-8oc Dosage:50-100u/kg Spead of injection:2u/kg/min FACTOR 7 • Packing:1-2mg • Storage:room tempretuer • Dosage:3-6u/kg • Spead of injection:25min Humate-p • • • • Packing:250-500u Storage:2-4oc Dosage:20u/kg Spead of injection:1cc/min