Hemo 5

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Author:
jld15
ID:
304029
Filename:
Hemo 5
Updated:
2015-06-14 14:07:46
Tags:
Hemo
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Description:
Hemo 5
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  1. Hemophilia
    • Sex-linked autosomal recessive trait
    • Most common blood clotting disorder
    • Hemophilia A/B
    • HIV
    • Hep C
    • Von Wilebrand Disease
  2. Hemophilia A
    • Not enough production of clotting factor 8 (VIII)
    • 80% of cases
  3. Hemophilia B
    • Not enough factor 9 (IX)
    • 15%
  4. Hemophilia Classification
    • Mild
    • ----Occasional bleeding into the joint
    • ----25%
    • Moderate
    • ----Joint bleeding and excessive bleeding after trauma or surgery
    • ----15%
    • Severe
    • ----At risk for spontaneous bleeding
    • ----60%
    • Based on what % of normal clotting factors are present
  5. HIV/ Hep C
    No cases from blood transfusion since 1986/ 1997
  6. von Willebrand Disease
    • defect in production in von willebrand factor which start clotting mechanism
    • usually in women
  7. Clinical Manifestations of hemophilia
    • Spontaneous bleeding
    • Joint
    • ---Most common
    • Muscle
    • ----Flexor muscles
    • Nervous system
    • ----Compression from bleeding (muscle hematoma)
    • ----Spontaneous bleeding can lead to intracranial hemorrhage
  8. Treatment Hemophilia
    • Factor infusion through IV
    • ----before surgery (mild/mod)
    • ----prophalactically (severe)
  9. Exercise Hemophilia
    • Regular exercise important
    • Choose exercise based on risk
    • ----Safe (Golf/ walking)
    • ----Potentially dangerous (Contact sports)
    • May need to reduce treatment if getting joint bleeding
  10. Strength training Hemophilia
    • Make sure form okay
    • A lot of warm up, cool down
    • Increase weight very slowly
    • Need to know if had recent bleeding episode

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