Hemophilia

Etiology / Pathophysiology

• Inherited clotting factor deficiency, commonly factor VIII or IX.
• Impaired clot formation causes prolonged bleeding, especially into joints and muscles.

Medications

No specific medication class was seeded for this card.

Nursing actions

• Assess bleeding, joint pain/swelling, neuro changes after head injury, and history of factor replacement plan.
• Avoid IM injections and rectal temperatures when possible; apply prolonged pressure after venipuncture.
• Teach protective gear, medical alert identification, and when to seek care after trauma.

Complications

• Intracranial bleeding
• Hemarthrosis
• Compartment syndrome
• Anemia

NCLEX cues

• Bleeding into joints.
• Head injury is emergency even if symptoms are subtle.
• No aspirin/NSAID teaching cue unless specifically ordered.

Memory hooks

• Hemophilia bleeds deep.

Labs / Diagnostics

• PTT may be prolonged
• Factor assays
• Hemoglobin/hematocrit
• Joint assessment

Review notes

• Supplemental wife-requested study card. Use for NCLEX review only and verify against school materials, ATI/NCLEX review sources, current orders, and facility policy.