Treatment FAQ

what treatment does the nurse expect a patient diagnosed with hemophilia to receive?

by Chandler Weimann Published 3 years ago Updated 2 years ago

The main treatment for severe hemophilia involves receiving replacement of the specific clotting factor that you need through a tube placed in a vein. This replacement therapy can be given to combat a bleeding episode that's in progress.

Full Answer

How do you cure hemophilia?

What Are the Treatments for Hemophilia?

  • Monitoring. ...
  • Acquiring a blood-borne disease: In the past, people receiving clotting factor from donated blood ran the risk of contracting a blood-borne disease.
  • Changes to the immune system: Your immune system may begin to recognize the administered clotting factor as foreign and then destroy it.

Why do people with hemophilia need to avoid injury?

People with severe and moderate hemophilia should avoid contact sports such as rugby, football, wrestling, ice hockey, boxing and lacrosse because of potential injuries and the risk of bleeding ...

What drugs are used for hemophilia?

What are the types and levels of hemophilia?

  • Mild: You have some clotting factor activity in your blood. You may only have severe bleeding after surgery or a severe injury.
  • Moderate: You have a low level of clotting factor activity in your blood. You may have bleeding episodes that occur suddenly. ...
  • Severe: You have very little clotting factor in your blood. ...

What are the risk factors of hemophilia?

The complications of hemophilia include:

  • joint damage from repetitive bleeding
  • deep internal bleeding
  • neurological symptoms from bleeding within the brain

Which type of therapy will the nurse anticipate administering to a patient who has newly diagnosed Helicobacter pylori?

Triple therapy Triple H. pylori therapy comprising a PPI, amoxicillin and clarithromycin is used as the firstline therapy.

Which medication may be given for treatment of heparin induced thrombocytopenia hit )? Select all that apply one some or all responses may be correct?

A direct thrombin inhibitor, such as lepirudin, danaparoid or argatroban, is considered the agent of choice for treatment of HIT.

Which substance would the nurse expect to be deficient in a client with hemophilia A?

Hemophilia A is an X-linked, recessive disorder caused by the deficiency of functional plasma clotting factor VIII (FVIII), which may be inherited or arise from spontaneous mutation.

Which therapy would be beneficial for a patient who experiences a minor bleeding episode during a dental procedure?

Antifibrinolytic therapy, as compared to clotting factor concentrates, is a relatively cheap and potentially effective therapy in preventing bleeding complications in oral surgery, in addition to other commonly used perioperative measures such as factor replacement therapy, desmopressin and local haemostatic measures.

Which alternative medication is used in patients who have heparin-induced thrombocytopenia HIT )?

Patients with HIT are at high risk for thrombotic events and should be treated with alternative anticoagulants, typically a direct thrombin inhibitor (DTI). The US Food and Drug Administration (FDA) has approved the DTI argatroban (Acova) for prophylaxis and treatment of thrombosis in patients with HIT.

When is heparin given?

Heparin is used to prevent or treat certain blood vessel, heart, and lung conditions. Heparin is also used to prevent blood clotting during open-heart surgery, bypass surgery, kidney dialysis, and blood transfusions.

How is hemophilia diagnosed and treated?

Diagnosis includes screening tests and clotting factor tests. Screening tests are blood tests that show if the blood is clotting properly. Clotting factor tests, also called factor assays, are required to diagnose a bleeding disorder. This blood test shows the type of hemophilia and the severity.

What does treatment of hemophilia often involve?

The main treatment for severe hemophilia involves replacing the clotting factor you need through a tube in a vein. This replacement therapy can be given to treat a bleeding episode in progress. It can also be given on a regular schedule at home to help prevent bleeding episodes.

How do you care for someone with hemophilia?

Below are just some of the best ways you can help support a loved one with hemophilia A.Encourage safe activities. ... Have ice packs and bandages handy. ... Lend a hand (literally!) ... Help administer medications. ... Be a chauffeur. ... Stay informed.

How do you stop bleeding from hemophilia?

First, control the bleeding: Apply pressure with sterile gauze, a bandage, or a clean cloth. Place another bandage over the first if blood soaks through the bandage, and continue to apply pressure. Raise the injured body part to slow bleeding.

How do you manage dental bleeding?

Control the Bleeding with a gauze.Place a piece of clean damp gauze on top of the tooth socket.Roll it up or fold it into a square. ... Bite firmly on the gauze for 45 – 60 minutes.Ensure the gauze is always positioned well and large enough that it applies pressure directly onto the site of the tooth extraction.

How do bleeding disorders affect dental treatment?

A bleeding disorder can be all-consuming, causing oral healthcare to be a low priority. However, plaque removal is necessary to prevent periodontal diseases and caries. Gingival bleeding in those with bleeding disorders is due to the presence of plaque.

When is hemophilia diagnosed?

Depending on the severity of the deficiency, hemophilia symptoms can first arise at various ages. Severe cases of hemophilia usually are diagnosed within the first year of life.

How to prevent hemophilia?

Lifestyle and home remedies. To avoid excessive bleeding and protect your joints: Exercise regularly. Activities such as swimming, bicycle riding and walking can build up muscles while protecting joints. Contact sports — such as football, hockey or wrestling — are not safe for people with hemophilia.

What is a recombinant clotting factor?

Similar products, called recombinant clotting factors, are manufactured in a laboratory and aren't made from human blood. Other therapies may include: Desmopressin. In some forms of mild hemophilia, this hormone can stimulate your body to release more clotting factor.

How to stop bleeding under the skin?

For small areas of bleeding beneath the skin, use an ice pack. Ice pops can be used to slow down minor bleeding in the mouth. Vaccinations. Although blood products are screened, it's still possible for people who rely on them to contract diseases.

How to help a child with hemophilia?

To help you and your child cope with hemophilia: Get a medical alert bracelet. This bracelet lets medical personnel know that you or your child has hemophilia, and the type of clotting factor that's best in case of an emergency. Talk with a counselor.

How to treat internal bleeding?

If internal bleeding has caused severe damage, you may need surgery. First aid for minor cuts. Using pressure and a bandage will generally take care of the bleeding. For small areas of bleeding beneath the skin, use an ice pack.

Can you use Tylenol for hemophilia?

Avoid certain pain medications. Drugs that can aggravate bleeding include aspirin and ibuprofen (Advil, Motrin IB, others). Instead, use acetaminophen (Ty lenol, others), which is a safer alternative for mild pain relief.

What is the treatment for hemophilia?

The treatment of hemophilia may involve prophylaxis, management of bleeding episodes, treatment of factor VIII (FVIII) inhibitors, and treatment and rehabilitation of hemophilia synovitis. Ryan White was an American hemophiliac who was infected with HIV from a contaminated blood treatment (factor VIII).

How to help a child with hemophilia?

Relieve pain. Immobilize joints and apply elastic bandages to the affected joint if indicated; elevate affected and apply a cold compress to active bleeding sites, but must be used cautiously in young children to prevent skin breakdown.

What is the name of the genetic disorder caused by a missing or defective factor VIII?

Option C: Hemophilia A, also called factor VIII (FVIII) deficiency or classic hemophilia, is a genetic disorder caused by missing or defective factor VIII, a clotting protein. The initial treatment is the administration of factor VIII to replace the missing factor and decreases the bleeding episode.

How common is hemophilia A?

Hemophilia A is the most common X-linked genetic disease and the second most common factor deficiency after von Willebrand disease (vWD). The worldwide incidence of hemophilia A is approximately 1 case per 5000 males, with approximately one-third of affected individuals not having a family history of the disorder.

Where does hemophilia occur?

Hemophilia results from mutations at the factor VIII or IX loci on the X chromosome and each occurs in mild, moderate, and severe forms.

Is hemophilia a recessive disorder?

Hemophilia A is an X-linked, recessive disorder caused by the deficiency of functional plasma clotting factor VIII (FVIII), which may be inherited or arise from spontaneous mutation. Hemophilia B, or Christmas disease, is an inherited, X-linked, recessive disorder that results in the deficiency of functional plasma coagulation factor IX.

What does it mean when a nurse is caring for a patient with chronic kidney disease?

On reviewing the patient's laboratory results, the nurse finds that the red blood cell (RBC) count is greatly reduced.

How many oxygen molecules can hemoglobin transport?

Each hemoglobin molecule consists of one iron molecule, which can transport up to four molecules of oxygen. Two hemoglobin molecules can transport up to eight molecules of oxygen.

Diagnosis

Treatment

  • The main treatment for severe hemophilia involves replacing the clotting factor you need through a tube in a vein. This replacement therapy can be given to treat a bleeding episode in progress. It can also be given on a regular schedule at home to help prevent bleeding episodes. Some people receive continuous replacement therapy. Replacement clotti...
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • To avoid excessive bleeding and protect your joints: 1. Exercise regularly.Activities such as swimming, bicycle riding and walking can build muscles while protecting joints. Contact sports — such as football, hockey or wrestling — are not safe for people with hemophilia. 2. Avoid certain pain medications.Drugs that can make bleeding worse include aspirin and ibuprofen (Advil, Motr…
See more on mayoclinic.org

Coping and Support

  • To help you and your child cope with hemophilia: 1. Get a medical alert bracelet.This lets medical personnel know that you or your child has hemophilia, and the type of clotting factor that's best in case of an emergency. 2. Talk with a counselor.Striking the right balance between keeping your child safe and encouraging as much activity as possible can be tricky. A social worker or therapi…
See more on mayoclinic.org

Preparing For Your Appointment

  • If you or your child has signs or symptoms of hemophilia, you might be referred to a doctor who specializes in blood disorders (hematologist).
See more on mayoclinic.org

What Is Hemophilia?

Pathophysiology

Statistics and Incidences

Causes

Clinical Manifestations

Assessment and Diagnostic Findings

Medical Management

  • The treatment of hemophilia may involve prophylaxis, management of bleeding episodes, treatment of factor VIII (FVIII) inhibitors, and treatment and rehabilitation of hemophilia synovitis. 1. Prehospital care.Rapid transport to definitive care is the mainstay of prehospital care; prehospital care providers should apply aggressive hemostatic techniq...
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Practice Quiz: Hemophilia

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