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