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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
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