CHILD HEALTH NURSING

1. INTRODUCTION
1. Leukemia are the most common form of childhood
cancer.
2. The leukemias characterized by persistent and
uncontrolled production of immature and abnormal
white blood cells.
3. When a child has leukemia, large number of abnormal
white blood cells are produce in the bone marrow.
4. Leukemia is among the most common diagnosed
pediatrics malignancies in children under 14 year of age.
5. It is a disease of abnormal maturation of bone marrow
which interfere with the production of normal RBCs and
platelets.

2. HISTORY
OF
LEUKEMIA

3. INCIdence

4. DEFINITION
• ACCORDING TO WORLD HEALTH
ORGANIZATION
Leukemia is defined as the , cancer of blood cells
forming tissues including bone marrow. Many types
exist such as acute lymphoblastic leukemia, acute
myeloid leukemia and chronic lymphocytic leukemia.
• ACCORDING TO PARUL DATTA
Leukemia is defined as the malignant disease of the
haemopoietic tissue characterized by the
replacement of normal bone marrow elements with
abnormal blood cells.

5. •ACCORDING TO WONG'S
Leukemia is a malignant progressive disease in
which the bone marrow and other blood
forming organs produce increased number of
immature and abnormal leukocytes, these
suppresses the production of normal blood
cells and leading anemia and other symptoms.

6. ANATOMY AND
PHYSIOLOGY OF
LEUKEMIA

7. TYPES OF LEUKEMIA
1.) Acute lymphocytic leukemia.
2.) Acute myeloid leukemia.
CHRONIC TYPE OF LEUKEMIA
1.) Chronic lymphocytic leukemia.
2.) Chronic myeloid leukemia.

8. INCIDence

9. RISK FACTORS OF
LEUKEMIA

10. 1 . PREVIOUS CHEMOTHERAPY OR RADIATION
THERAPY

11. 2. FAMILY HISTORY

12. 3. GENETIC ABNORMALITIES

13. 4. MATERNAL FETAL ABNORMALITIES

14. 5. VIRAL INFECTION

15. PATHOPHYSIOLOGY
Myeloid / lymphoid progenitor cell
multiple genetic injuries.
Malignant translocation / proliferation
Immature hematopoietic cells proliferate and
accumulate in bone marrow peripheral blood
and other tissues.

16. 1. Hyper proliferation of abnormal cells.
2.Inhibition of normal hematopoiesis .
Sign and symptoms of acute Leukemia.
Lead leukemia.

17. SIGN AND SYMPTOMS OF
LEUKEMIA

18. DIAGNOSTIC EVALUATION

19. MANAGEMENT
1. Medicine Management.
2. Surgical Management.
3. Therapeutic Management.
4. Home Management.
5. Nursing Management.

20. 1.MEDICINE MANAGEMENT.
1. Inj.
Gamtuzumabogamicin (
mylotarg )
2. Azacitidine

21. 2.SURGICAL
MANAGEMENT

22. 1. STEM CELL TRANSPLANTATION

23. 2. BONE MARROW ASPIRATIONS AND BIOPSY

24. 3.THERAPEUTIC
MANAGEMENT

25. ( 1.) INDUCTION THERAPY

26. 2.) CNS PROPHYLACTIC THERAPY

27. ( 3.) INTENSIFICATION THERAPY

28. 4. MAINTENANCE THERAPY

29. 4.HOME MANAGEMENT

30. 1. MAINTAIN HYGIENE

31. 2. PROVIDE HEALTHY DIET

32. 3.POSITIVE THINGS TO SAY CHILD (
PROVIDE PSYCHOLOGICAL SUPPORT.

33. 4.BE FAMILIAR WITH CHILD

34. 5.PROVIDE PLAY THERAPY TO CHILD

35. 5. NURSING MANAGEMENT

36. 1.PATIENT ASSESSMENT

37. 2. PATIENT MORNING

38. 3.ISOLATED CHILD

39. 4. PROVIDE NEONATES DIET

40. 5. PSYCHOLOGICAL SUPPORT

41. 5. PROVIDE MEDICATION

42. NURSING DIAGNOSIS
1. Anxiety of the patient to diagnose of.
malignant disease.
2. Pain related to in filtration of leukemia
cells.
3. Alteration of body temperature more
than normal due to infection.
4. Activity intolerance related to fatigue
resulting from Disease process.
5. Knowledge deficit of the parents related to
continuation of long term care.

43. PREVENTION OF LEUKEMIA
1.Primary prevention.
2.Secondary prevention.
3.Tertiary prevention.
4.Other prevention of leukemia.

44. COMPLICATIONS
1. Return of the leukemia.
2. Growth of other cancers.
3. Heart and lung problem.
4. Slow growth and development.
5. Bone problem sach as thinning.

45. SUMMARY AND
CONCLUSION

46. THANK YOU