Which intervention is a priority for a hemophilic child who has fallen and badly bruised his leg?
A.
Appropriate dose of aspirin and rest
B.
Immobilization of the leg and a dose of ibuprofen
C.
Heating pad and administration of factor Vill concentrate
D.
Pressure on the site and administration of the required clotting factor
The correct answer and Explanation is :
The priority intervention for a hemophilic child who has fallen and badly bruised his leg is:
D. Pressure on the site and administration of the required clotting factor.
Explanation:
Hemophilia is a genetic bleeding disorder characterized by the deficiency or absence of clotting factors that are crucial for normal blood clotting. When a hemophilic person experiences an injury, like a fall that results in a bruise, there is an increased risk of bleeding internally and externally due to the lack of proper clotting factors.
1. Immediate Response with Clotting Factor Administration:
The administration of the required clotting factor (such as factor VIII or IX, depending on the type of hemophilia) is critical. This clotting factor helps in the formation of blood clots, thereby reducing the risk of excessive bleeding and helping to stabilize the injury site. Delaying or skipping this step can lead to more severe bleeding complications, increased pain, and potential long-term damage.
2. Applying Pressure:
Applying pressure to the bruise or injured area is important to help control bleeding. It aids in clot formation and minimizes the spread of the blood within the tissues. This method complements the administration of clotting factors and can provide immediate relief and support to the affected area.
Why Not the Other Options?
- Aspirin and Rest (Option A): Aspirin is an anticoagulant and can worsen bleeding in hemophilic patients. Rest is important, but it does not address the immediate need for clotting factor administration.
- Ibuprofen and Immobilization (Option B): Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can also increase bleeding risks and is not recommended for hemophilic individuals. Immobilization is important but does not replace the need for clotting factor treatment.
- Heating Pad (Option C): A heating pad is not appropriate in this situation as it does not aid in clotting and might exacerbate bleeding by increasing blood flow to the injured area.
Therefore, prompt pressure application and clotting factor administration are essential for managing a hemophilic child’s injury effectively and safely.