Week5_AnemiaFall2017STUDENT.pdf

Diet rich with food sources of iron meat liver fish

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Diet rich with food sources of iron: meat, liver, fish, egg yolks, spinach, oysters, peas, green leafy vegetables, nuts, whole grains, iron-fortified infant cereal and dry cereal Feed milk as supplemental food in infant’s diet after solids are begun Administer iron preparations as prescribed: 9 Give between meals 9 Administer with fruit juice or multivitamin preparation 9 Do not give with milk or antacids 9 Give fluid preparations with dropper, syringe, or straw to avoid contact with teeth 9 If the child is getting enough iron, stools should be a tarry green colour. s121 GBC-PN, NURS 1028 Fall 2017 34
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18 Iron Supplements Although oral iron supplementation is generally perceived as a safe treatment alternative, an overdose can be lethal for children. Initial signs and symptoms of overdose: vomiting, abdominal pain, bloody diarrhea. These manifestations are typically followed by shock, lethargy, and dyspnea. Often the child will appear to improve before the onset of severe metabolic acidosis, coma, and death. Urgent treatment is essential and includes flushing out unabsorbed pills, administration of Desferal , and supportive therapy s121 GBC-PN, NURS 1028 Fall 2017 35 Treatment Bone Marrow Transplantation Administer steroids Administer Erythropoietin (Epogen) s121 GBC-PN, NURS 1028 Fall 2017 36
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19 Thalassemia Thalassemia is an inherited blood disorder in which the body produces an abnormal form of hemoglobin which results in excessive destruction of red blood cells and further leads to anemia. TYPES OF THALASSEMIA: ALPHA THALASSEMIA BETA THALASSEMIA s121 GBC-PN, NURS 1028 Fall 2017 37 Thalassemia- Incidence Mediterranean ancestry African- American Southern China, South East Asia. In South East Asia it is 40 million and In India its 50 % s121 GBC-PN, NURS 1028 Fall 2017 38
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20 Thalassemia- MANIFESTATIONS Shortage of red blood cells- Anemia Pale skin Weakness Fatigue Enlarged liver and spleen- hepatosplenomegaly Heart defects Abnormalities of the urinary system or genitalia Certain Thalassemia mutations can cause complications in pregnancy such as: High blood pressure Premature delivery Abnormal bleeding Jaundice s121 GBC-PN, NURS 1028 Fall 2017 39 Thalassemia- treatment Treatment for thalassemia often involves regular blood transfusions to keep Hgb at 10.5 g/dL and folate supplements. Manage fluid overload. If a patient receives blood transfusions, they should not take iron supplements. Doing so can cause a high amount of iron to build up in the body, which can be harmful. Patients who receive significant numbers of blood transfusions need a treatment called iron chelation therapy (Desferral) to remove excess iron from the body. 24 h urine collection after chelating therapy to estimate the amount of iron excreted and reassure the orange colour is normal.
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  • Fall '13
  • PatriciaHynes
  • Hemoglobin

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