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Nursing Study Guide for Retinoblastoma in the Pediatric Patient
GeneralCongenital, highly malignant tumor from embryonic retinal cells | Accounts for 5% of childhood blindness |
Risk FactorsDx by 5 y/o | Hereditary or non-hereditary (advanced paternal age) |
| | Signs & SymptomsCat’s eye reflex / whitewash glow (leukocoria) | Absent red reflex | Strabismus (late) | Erythema | Swelling |
DiagnosticsCT | MRI | Ophthalmic exam - Under general anesthesia | Lumbar Puncture | Bone Marrow Aspiration - Metastasis |
| | Collaborative Care & MedsSurgical removal of eye | ABX ointment w/ dressing change |
Nursing InterventionsPost-op care - Large pressure dressing - Observe for bleeding - Sterile dressing changes (saline rinses, ABX ointment) - High risk for meningitis! |
EducationEncourage eye check ups for remaining eye | Encourage genetic testing | Goggles during sports | No contact sports | Tx w/ eye infections |
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