When platelet and WBC counts are low, what should not be inserted into a child?

In cases where platelet and white blood cell counts are low, it is critical to consider the increased risk of bleeding and infection. The introduction of any invasive procedure must be weighed against these risks.

The use of a suppository may seem less invasive than other options like an intravenous catheter or a urinary catheter, but it still involves inserting a device into the rectum, which can cause trauma to the delicate mucosa and potentially lead to bleeding, particularly when platelet counts are low. Low platelet counts can hamper the body’s ability to form clots, increasing the risk of complications from any procedure that disrupts tissue.

In comparison, intravenous catheters, enemas, and urinary catheters have specific protocols and safety measures regarding their insertion and use in children with low blood counts. For example, while an IV catheter does carry risks, trained professionals can mitigate these by using proper techniques and sterile conditions. Similarly, enemas, when administered gently and carefully, may not pose the same level of risk as a suppository does in this scenario.

Therefore, the correct choice highlights the increased caution necessary when inserting devices into a child with low platelet and WBC counts, emphasizing the need to avoid the use of suppositories in such situations.