Iron Deficiency Anemia

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Author:
pachie_18
ID:
167776
Filename:
Iron Deficiency Anemia
Updated:
2012-08-28 01:00:42
Tags:
RBC
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Description:
NCLEX review
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  1. Iron Deficiency Anemia (microcytic RBC)
    Cause: poor diet intake, mens, elderly, <2yrs old, low income, infants given solids/reg milk
  2. Iron Deficiency Anemia (microcytic RBC)
    • S/S:
    • fatigue
    • hgb<12
    • pallor(look in mouth, conjunc, palmer surfaces for dark skin pt)
  3.  Iron Deficiency Anemia (microcytic RBC)
    DIAGNOSIS
    • CBC, H/H stools guiac
    • MCV/MCHC=low
    • RDW=increased
    • Serum ferritin=low
    • Transferin=inc
    • TIBC=high (Fe bound to transferin)
  4. Iron Deficiency Anemia (microcytic RBC)
    DIET
    • #1: HEME IRON SOURCES (animal)
    • 15-35% are absorbed, liver, organ, dark puoltry, egg yolk, shellfish, veal, duck, goose

    • #2: NON-HEME SOURCES
    • 3-8% are absorbed, fortified cereals & grains, dried fruits, grn leafy veggies (spinach, kale)
  5. Iron Deficiency Anemia (microcytic RBC)
    ABSORPTION ENHANCERS: vit C, alcohol, gastric acidity

    ABSORPTION BLOCKERS: tea/coffee, bran, antacids
  6. Iron Deficiency Anemia (microcytic RBC)
    TREATMENT
    FERROUS SULFATE = GI upset, take 1h p meal, tabs are 300mg=325mg, dark, tarry stools (inc fiber/fluids), s/b given short-term (3mos)

    FEASOL (spansule)=slow release

    INFERRON=IM, Z-track (it stains the skin), watch antigen/antibody response

    DEXTRAN=IV iron, watch antigen/antibody response

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