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132 hemolytic uremic syndrome hemolytic uremic

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Unformatted text preview: and 4 are nontherapeutic and may add to the mother¶s guilt. Option 2 does not acknowledge the concern and is a stereotypical response. 132. Hemolytic-Uremic Syndrome Hemolytic-uremic syndrome (HUS) is thought to be associated with bacterial toxins, chemicals, and viruses that cause acute renal failure in children. Clinical features of the disease include acquired hemolytic anemia, thrombocytopenia, renal injury, and central nervous system symptoms. A child with hemolytic-uremic syndrome 9 undergoing peritoneal dialysis because of anuria will be on fluid restriction. Pain is not associated with hemolytic-uremic syndrome and potassium would be restricted, not encouraged, if the child was anuric. Peritoneal dialysis does not require an AV shunt (only hemodialysis). 133. Nocturnal Enuresis Primary nocturnal enuresis occurs in a child who has never been dry at night for extended periods. The condition is common in children, and most children eventually will outgrow bed-wetting without therapeutic intervention. The child...
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