ANEMIA.docx - ANEMIA Nutritional Anemia B12 Deficiency...

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ANEMIA Nutritional Anemia B12 Deficiency – Neurological Risk Factors – Pregnancy, Malnutrition, child-bearing age, pre-existing medical conditions Hemolytic Hereditary Aplastic Anemia Blood work – CBC, Hot, Hemoglobin Rx Ferrous Sulfate Vitamin C will help absorb iron Milk interferes with absorption of iron Anything that lines the intestines or stomach Best way to take on empty stomach, but can cause GI problems 1 hour before, 2 hours after – offset GI problems Foods – High in iron & folic acid – encourage orange juice Vitamin B12 – once a month Erythropoietin – stimulate red cell production, watch CBC Can give too much iron Possible signs of symptoms Severe – Fainting, Chest Pain, Angina Plan of Care – monitor vital signs Changes in respirations, shortness of breath – tachypnea, dyspnea Pallor, cyanosis, dependent anemia Activity intolerance Low hemoglobin – weakness, fatigue, vertigo Sleep 8 -10 hours Schedule activities with periods of rest Stop activity – tachycardia bradycardia Glossitis inflammation of the tongue
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