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NSG220anemias

QuestionAnswer
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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