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Unformatted text preview: ion to reduce the risk of infection and could actually be harmful to
the child. Live virus vaccines are not given when the child is myelosuppressed, so assessment of the child¶s immune status
should be done before administration of immunizations appropriate for age.
343. Brain Tumor
If an infratentorial tumor is removed, the child is positioned flat. The pillow is placed behind the child¶s back,
not the head, because when the pillow is behind the head proper, alignment is not maintained and this misalignment can impair
circulation. The child should never be placed in a Trendelenburg position (head down) because this position increases
intracranial pressure. Placing the child on the operative side is not recommended because the brain may shift suddenly to that
cavity. The head is elevated above the heart when the tumor is a supratentorial one.
In leukemia, normal bone marrow is replaced by malignant blast cells. As the blast cells take over the bone
marrow, eventually red blood cell and platelet production is affected and the child becomes...
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This document was uploaded on 03/29/2014.
- Spring '14