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NSG220anemias
| Question | Answer |
|---|---|
| Inadequacy of iron either from intake, malabsorption, blood loss, or hemolysis | Iron Deficiency |
| S/S of ???? anemia? None in early course Late pallor, glossitis, headache, burning sensation | iron deficiency |
| Iron deficient anemia, what nsg implications? | *Teach food sources high in iron such as liver, muscle, eggs, dark green leafy vegs, potatoes *Teach to increase Vit C. intake as assists in iron absorption. |
| Decrease or absence of globulin production, resulting in a decrease in hemoglobin. | Thalassemia Major |
| S/S of which anemia *Physical and mental growth impairment *Thickening of the cranium and maxillary bone cavity | Thalassemia Major |
| Teaching/implications for Thalassemia Major | *Blood Transfusion *Deferoxamine (Desferal) {Chelating agent that binds to iron to reduce risk of iron overload} |
| Dietary deficiency, deficiency of gastric intrinsic factor, intestinal malabsorption, increased requirement, alcoholism. | Cobalamin deficiency |
| S/S of Cobalamin deficiency | *hypoxia *sore, red, beefy, shiny tongue *anorexia *weakness, confusion, coordination problems, parathesias |
| Nsg implications for cobalamin deficiency | *Teach food sources high in Vitamin B12 such as red meats, liver, eggs, enriched grains. *+Schilling test, low hgb *Gastrectomy increases risk |
| S/S same as Cobalamin deficiency except for neuro problems | Folic Acid, caused by dietary deficiency |
| Teaching for Folic acid deficiency? | *Teach foods high in folic acid such as green leafy vegetables, liver, fish, legumes, lentils, whole grains. *Usual dose is 1mg qday |
| Decrease of all blood cell types May be congenital or acquired | Aplastic |
| S/S of aplastic anemia? | Fatigue, dyspnea, cardiovascular symptoms |
| NSG implcations for Aplastic anemia | *Temp greater than 100.4 is considered medical emergency! *Bleeding precautions *isolation if WBC low |
| This anemia is an autosomal recessive disorder | Sickle cell |
| S/S of sickle cell? | May be asymptomatic or experience great pain |
| NSG implications for Sickle cell? | *Fluids, O2, pain control *Hydroxyurea (Hydrea) chemo drug helps. *Teach to avoid dehydration and high altitudes |
| Result of hemolysis of RBC due to trauma, antibody reaction, or infectious agent | Hemolytic |
| Hemolytic s/s | Fatigue, weakness due to decreased o2 supply |
| NSG implications for Hemolytic anemia? | *Identify cause and treat *May need steroids and blood products *alternate activity with rest |
| What food sources are high in iron? | Liver, Muscle, Eggs, Dark green leafy vegs, Potatoes, **Vitamin C intake assists in Iron absorption** |
| Foods high in Vit B12? | Red meats, liver, eggs, enriched grains. |
| Folic Acid foods? | Green leafy vegs, liver, fish, legumes, lentils, whole grains |
Created by:
purpleapple87
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