undergo apoptotic death (Schrier, 2018). Oral folate supplements are used to treat folate deficient anemia until blood levels are adequate and long-term administration is typically not needed if the individual’s diet is adjusted with sufficient folate (Schwartz, McCance, & Rote, 2017). Symptoms disappear after 1 to 2 weeks of supplementation therapy (Schwartz et al., 2017). References Schrier, S. L. (2018). Clinical manifestations and diagnosis of vitamin B 12 and folate deficiency. Retrieved from - diagnosis-of-vitamin-b12-and-folate-deficiency Schwartz, A., McCance, K. L., & Rote, N. S. (2017). Alterations of hematologic function. In S. E. Huether & K. L. McCance (Eds.), Understanding pathophysiology (6 th ed., pp. 513-553). St. Louis, MO: Mosby. Response #2 Laura, I enjoyed reading your discussion post on post hemorrhagic anemia. As a labor and delivery nurse we see it often when a postpartum hemorrhage occurs. Postpartum hemorrhages are the leading cause of maternal death in the world, usually due to uterine atony (Massive transfusion:
Part I, 2014). Other causes of post hemorrhagic anemia are due to trauma, ruptured ectopic pregnancy, or ruptured abdominal aortic aneurysm (Massive transfusion: Part I, 2014). Coagulopathy, hypothermia, and acidosis occurs during a massive hemorrhage and when these three transpire can be associated with high mortality (Massive transfusion: Part I, 2014). The treatment goals for massive hemorrhages are to maintain perfusion pressure and oxygenation to organs, stop the bleeding, and treat the coagulopathy (Muirhead & Weiss, 2017). A massive transfusion of blood products is required for resuscitation and most hospitals have a protocol in place to organize this effort between providers and the blood bank (Muirhead & Weiss, 2017). References Massive transfusion: Part I. (2014). Emergency Medicine Reports, 35 (6). Retrieved from - com.ezp.waldenulibrary.org/docview/1993224529?accountid=14872 Muirhead, B., & Weiss, A. D. H. (2017). Massive hemorrhage and transfusion in the operating room. Canadian Journal of Anesthesia, 64(9), 962-978. doi:10.1007/s12630-017-0925-x
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- Fall '17
- keisha lovence
- Hematology, Hemoglobin