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