Graded A+ 100 % Success
General s/ sx of Anemia - ✔✔SOB, fatigue, weakness, confusion, dizziness, pale, increased HR,
increased RR
SCD - ✔✔Cells = 1/2 eaten donut ( sickle shaped) and clump together
RF of SCD - ✔✔Genetics + SCD crisis ( stress, dehydration, vasoconstriction, cold weather,
infection, altitude changes, strenuous excercise and pregnancy)
Expected findings of SCD - ✔✔Jaundice, itching, hypoxia, clotting issues, and pain
Interventions for SCD - ✔✔1. Elevate HOB
2. Admin 02
3. Promote vasodilation
4. Hypotonic IV solutions 250 mL/ x 4 hrs
5. Prevent vasoconstriction
6. Frequent circulation checks ( pulses)
7. Monitor for infection
8. ROM as tolerated
9. RBC transfusion every 3-4 months
10. Monitor for SBD ( ulcers)
11. Pain Management ( opioids)
Teaching for SCD - ✔✔1. Increase fluid intake
2. S/ sx of infection and prevention
3. Genetic Counseling
, 4. Proper clothing
5. Maintain vaccinations
6. Avoid large clouds
Priorities during SCD crisis - ✔✔1. Hydration
2. Perfusion
3. Oxygenation
4. Pain management
Iron deficiency Anemia s/ sx - ✔✔General anemia s/ sx + fissures in corner of mouth, spoon
nails, and pica
Iron deficiency Anemia - ✔✔Loss of blood flow leading to hypoxia or because of poor iron
intake
Interventions for iron deficiency anemia - ✔✔1. Admin 02
2. Elevate hob
3. Encourage food sources + regular intake of iron supplement
4. Fix GI bleed if related
5. Consults: GI, social worker, dietician
Priorities for iron deficiency anemia - ✔✔1. Find the underlying cause
2. Treat the problem
3. Prevent problem from happening
Teaching for iron deficiency anemia - ✔✔1. Encourage diet rich iron rich foods
2. Iron supplements