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Anemia sysDis

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ACTIVE LEARNING TEMPLATE:
System Disorder
Camilo Rivas
STUDENT NAME______________________________________
Anemia
DISORDER/DISEASE PROCESS___________________________________________________________
Alterations in
Health (Diagnosis)
Reduced nutritional intake and
insufficient perfusion of
tissues/organs.
Pathophysiology Related
to Client Problem
Abnormally low amount of RBCs,
Hgb, or both
REVIEW MODULE CHAPTER____________
Health Promotion and
Disease Prevention
Pregnant or menstruating clients need to make
sure diet has adequate amounts of iron-rich
foods or take a supplement. Regularly
consume foods high in folate and folic acid
fortified grains or juices.
ASSESSMENT
SAFETY
CONSIDERATIONS
Risk Factors
Expected Findings
Acute/chronic blood loss, rapid
metabolic activity, increased
hemolysis, inadequate dietary
intake/malabsorption, bone-marrow
suppression, age
Laboratory Tests
Pallor, fatigue, irritability, dyspnea on
exertion, numbness or tingling of extremities,
somnolence, headache, tachycardia, sob,
palpitations, dizziness, syncope upon standing
or exertion, spoon shaped nails
Diagnostic Procedures
CBC count, RBC indices (MCV,
MCH, MCHC), Hgb electrophoresis,
iron studies, sickle cell test, schilling
test
Bone-marrow aspiration/biopsy
PATIENT-CENTERED CARE
Nursing Care
Encourage increased dietary intake of
deficient nutrient (iron, vitamin b12, folic
acid, etc.), client/family teaching about
energy consumption and the s/s like
dizziness. Monitor 02 saturation, teaching
on resolution time
Therapeutic Procedures
Blood transfusions
ACTIVE LEARNING TEMPLATES
Fall risk,
hypoxemia,
malnutrition, monitor
02, monitor
RBCs/Hgb regularly
Complications
Medications
Client Education
Ferrous sulfate, Take iron PO with orange juice
or another citric juice. Rest
ferrous
between activities and be sure to
fumarate,
stay hydrated. Iron is best
absorbed 1 hr prior to meals.
ferrous
gluconate,
epoetin alfa,
Interprofessional Care
vitamin b12
supplementation Hematologist, PCP,
Nutritionist
, folic acid
supplements
Heart failure,
chest pain,
hypoxemia,
irregular
heartbeats
Therapeutic Procedure
A11
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