Nursing care management of hemophilia includes:
• Recognize and treat bleeding early.
• Administer injections via subcutaneous route
instead of intramuscular when possible.
• Avoid unnecessary skin punctures and use
venipuncture for blood samples instead of finger or
heel sticks.
• Use surgical aseptic technique.
• Monitor for headache, slurred speech, or loss of
consciousness as these could be signs of cerebral
bleeding.
• Monitor urine and stool for occult blood or
signs of a gastrointestinal (GI) bleed (black and
tarry stools).
• Avoid aspirin and aspirin products and use
acetaminophen as an acceptable substitute.
• Control localized bleeding.
• Apply pressure if open wound.
• Administer factor replacement.
• Encourage the client to rest and immobilize
affected joints.
• Elevate affected joints and apply ice.
Hemophilia: Client Education
• Prevent bleeding at home by decreasing the risk of injury.
• Provide a safe home and play environment.
• Set activity restrictions and promote non- or low-
contact sports (i.e., bowling, walking, jogging,
fishing, swimming, golf, etc.).
• Use protective equipment when playing sports
(i.e., helmets, face masks, shin/wrist/forearm
guards, kneepads, etc.).
• Use small, soft-bristled toothbrushes to avoid oral trauma.
• Wear a medical identification bracelet.
• Involve children in prevention and treatment using
age- and developmentally-appropriate language.
• Observe for clinical manifestations of internal
bleeding and hemarthrosis.
• Control bleeding episodes using the RICE
method (rest, ice, compression, elevation).
, • Administer factor replacement accurately.
• Range of motion (ROM):
• Passive ROM (PROM) is contraindicated during
acute episodes.
• Active ROM (AROM) should be initiated after the
acute phase to promote maximum function of
the joint and unaffected body parts.
• Participate in a support group to help the family and
client with psychosocial needs.
Remember RICE
• Rest
• Ice
• Compression
• Elevation
Hemophilia Interventions
The nurse is caring for a child diagnosed with hemophilia. Which action should the nurse
perform first if the child begins bleeding?
• Recognize and treat bleeding early.
• Administer injections via subcutaneous route
instead of intramuscular when possible.
• Avoid unnecessary skin punctures and use
venipuncture for blood samples instead of finger or
heel sticks.
• Use surgical aseptic technique.
• Monitor for headache, slurred speech, or loss of
consciousness as these could be signs of cerebral
bleeding.
• Monitor urine and stool for occult blood or
signs of a gastrointestinal (GI) bleed (black and
tarry stools).
• Avoid aspirin and aspirin products and use
acetaminophen as an acceptable substitute.
• Control localized bleeding.
• Apply pressure if open wound.
• Administer factor replacement.
• Encourage the client to rest and immobilize
affected joints.
• Elevate affected joints and apply ice.
Hemophilia: Client Education
• Prevent bleeding at home by decreasing the risk of injury.
• Provide a safe home and play environment.
• Set activity restrictions and promote non- or low-
contact sports (i.e., bowling, walking, jogging,
fishing, swimming, golf, etc.).
• Use protective equipment when playing sports
(i.e., helmets, face masks, shin/wrist/forearm
guards, kneepads, etc.).
• Use small, soft-bristled toothbrushes to avoid oral trauma.
• Wear a medical identification bracelet.
• Involve children in prevention and treatment using
age- and developmentally-appropriate language.
• Observe for clinical manifestations of internal
bleeding and hemarthrosis.
• Control bleeding episodes using the RICE
method (rest, ice, compression, elevation).
, • Administer factor replacement accurately.
• Range of motion (ROM):
• Passive ROM (PROM) is contraindicated during
acute episodes.
• Active ROM (AROM) should be initiated after the
acute phase to promote maximum function of
the joint and unaffected body parts.
• Participate in a support group to help the family and
client with psychosocial needs.
Remember RICE
• Rest
• Ice
• Compression
• Elevation
Hemophilia Interventions
The nurse is caring for a child diagnosed with hemophilia. Which action should the nurse
perform first if the child begins bleeding?
