Anemia System Disorder PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

Espinosa ST UDENT NAME Catherine _____________________________________ Anemia DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem Deficiency in number of erythrocytes, the quanitity or quality of Hgb and/or Hct

Fatigue Impaired Nutritional Intake Ineffective tissue perfusion

30 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention -Prompt medical attention for prolonged or heavy bleeding. -Eating iron rich food e.g. turkey, spinach -Treating underlying cause i.e. chronic disease

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Blood loss

Tissue hypoxia

Hematologic Problems

Pallor Increasing HR and stroke volume

Hereditary

Laboratory Tests

Diagnostic Procedures

RBC

H&P examination

Hgb and Hct Stool Occult Blood Test

Endoscopy and colonoscopy to detect GI bleeding

Serum iron

Bone Marrow Biopsy

PATIENT-CENTERED CARE

Nursing Care -Administer ferrous sulfate, iron -Identify and treat underlying cause -Blood transfusions if prescribed -Drug therapy i.e. erythropoetin or vitamin supplements. -O2 therapy to stabilize the patient.

Drug Therapy e.g. iron Transfusion of packed RBC O2 Therapy Nutritional Therapy

ACTIVE LEARNING TEMPLATES

IV iron preparations are at risk for an allergic reaction. GI side effects may occur with taking iron such as heartburn, constipation and diarrhea.

Complications Medications Iron Folic Acid Niacin

Therapeutic Procedures

Oral iron should be taken about 1 hr before meals unless contraindicated.

Vitamin B5 Vitamin C

Client Education -Dietary and lifestyle changes such as increasing iron and Vitamin C in diet and smoking cessation. -To balance activities with rest to prevent fatigue. -Iron is best absorbed in an acidic environment so take 1 hr before meals.

Interprofessional Care

Irregular heartbeats Shortness of breath Dizziness or lightheadedness Chest pain

Hematologist Hypoxemia PCP...