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NR 499 Week 5 Discussion: Diagnosis – Iron Deficiency Anemia (RATED A+) $10.99   Add to cart

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NR 499 Week 5 Discussion: Diagnosis – Iron Deficiency Anemia (RATED A+)

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NR 499 Week 5 Discussion: Diagnosis – Iron Deficiency Anemia (RATED A+)

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  • January 31, 2022
  • 5
  • 2021/2022
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Diagnosis: Iron Deficiency Anemia


Physical
Signs and
Assessment
Pathophysiology Symptoms Pharmacologic
Findings
Summary Recommendations
(subjective)
(objective)

In general, anemia is
Diagnosis caused by a reduction Patient Assessed prior When the underlying
#1: Iron of oxygen transported presented in history to cause of iron deficiency
Deficiency throughout the the office compare with anemia is determined
Anemia bloodstream due to complaining current findings. then a specific treatment
decreased hemoglobin of: can be developed for the
content. The low Upon physical patient. There are
hemoglobin level may  Unexplained assessment the different ways to also
result from declining fatigue, following was help the patient to resolve
production of the lethargic observed: the iron deficiency with
protein, a decrease in  Cold  Pale skin and iron supplements. The
the member of intolerance pallor mucous following are the
erythrocytes, or a  Irritability membranes recommended iron
combination of these (CNS related to supplements:
factors. (Hubert & response to cutaneous
VanMeter, 2018) hypoxia) vasoconstriction  Diet iron-rich foods
Iron is the essential  Menstrual  Pale conjunctiva
component of a irregularities  Brittle hair and -Meat: beef, pork, lamb,
hemoglobin molecule.  Pounding or spoon-shaped liver
(Warner & Karman, “whoosing” ridged nails
2018). Insufficient iron in both ears  Stomatitis and -Poultry: chicken,
affects the synthesis of  Headaches glossitis turkey and duck
hemoglobin resulting with activity (inflammation
in microcytic (small  Shortness of of oral mucosa -Fish
cell) hypochromic (less breath with and tongue)
color) erythrocytes activities  Palate abdomen -Leafy green
making a low  Unexplained to assess liver vegetables: cabbage,
concentration of hair loss and spleen size broccoli, kale, turnip
hemoglobin in each  Resting heart  Resting greens and collard
cell. (Hubert & palpitations tachycardia greens
VanMeter, 2018).
There are two Diagnostic -Legumes: lentils, lime,
classification of iron testing: peas, pinto beans and
deficiency:  CBC with


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,  Pure iron deficiency: differential
Depleted iron stores  BMP black-eyed peas
because of an  Serum levels of
imbalance in iron ferritin, iron, -Iron enriched pastas,
uptake and utilization total iron- grains, rice and cereals
Persistence negative binding and (American Society of
balance leads to transferrin Hematology, 2019).
microcytic and  Stool: fecal
hypochromic anemia occult blood testPharmacologic
 Functional iron  Urinalysis: rule recommendations:
deficiency: out blood in Iron supplements:
Impaired iron release urine Classification:
into the circulation Hematinics
from enterocytes, Patient presenting Mechanism of action:
macrophages or with Iron is bond to
hepatocytes (Jimenez, gastrointestinal transferrin, which safely
Kulnigg-Dabsch & problems can transports it to the bone
Gasche, 2015). perform one of marrow for hemoglobin
Also, there is a the following synthesis. (Geisser &
reduction in stored iron tests: Burckhardt, 2011)
by decreased serum  Upper and lower Oral iron supplement:
ferritin, decreased endoscopy  Ferrous fumarate
hemosiderin and  Capsule  Ferrous gluconate
decreased iron enteroscopy  Ferrous sulfate
containing histiocytes  Barium enema  Polysaccharide iron
in the bone marrow.  Barium swallow complex
(Hubert & VanMeter,  Small bowel -recommended to take
2018). biopsy without food to increase
Iron deficiency is (American absorption
responsible for 50% of Society of -recommended daily oral
anemia patient and the Hematology, dose range from 150
most common cause of 2019) mg/day to 180 mg/day in
anemia. According to divided dosage 2-3 times
Warner and Kamran, Patient presenting a day. (Johnson-Wimbley
anemia effects with abnormal & Graham, 2011).
approximately 25% of menstrual blood Injection iron
people worldwide, but loss can perform supplement:
the USA has the lowest one of the  Iron dextran
rate of iron following tests:  Iron sorbital
deficiencies.  Pelvic Side effects for oral and
There are several ultrasound injection:
causes of iron  Uterine biopsy -upset stomach
deficiency anemia -stool changes: dark
which vary based on stool, constipation
age, gender and -anorexia
socioeconomic. -vomiting



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