Exam 4:NSG 3600 (Objectives-Hematology/Oncology & Grief)Updated A+ Score Guide Solution

Determine the role of the nurse in the care of children with iron deficiency anemia and sickle cell anemia. iron deficiency anemia Microcytic, hypo-chromic anemia caused by inadequate supply of iron (LOW IRON = LOW HGB) Premature infants @ higher risk b/c of decreased fetal iron supply Factors r/t iron deficiency anemia: o Stopping breast feeding too early o Giving formula non-iron-fortified o Prolonging bottle feeding o Drinking more than 2 cups of cow’s milk a day (12 mo +) Important to recognize the presence of IDA DX: labs (HGB, Iron, RBC) S/S: o May be asymptomatic but lab tests can show (LOW HGB/HCT) o Irritability/fatigue o Delayed motor development o Tachycardia or SOB o Decreased activity level o Pale skin o Conjunctival pallor o Listlessness o Systolic heart murmur o Hepatomegaly o Pica (starch, clay, ice, or paper) can be associated Nursing Care: o Prevention is KEY o Eating iron rich foods (beans, meat, fortified cereals, eggs, green leafy veggies) o Dietician provides counseling w/ recommended iron-fortified formula and cereal o Oral iron supplements: 3 mg/kg per day based on body weight in 1-2 doses Family teaching guidelines o Feed infant breast milk or commercial infant formula for 1st 12 months o WIC to provide assistance w/ formula o Iron fortified cereal 6-12 months NO infant cow milk before 12 months (after 12 mo = 18-24 oz/day) o Offering solids before giving bottle helps prevent o Adolescents on vegetarian diet or weight reduction diet understanding proper dietary alternatives (red meats, beans, whole grains, nuts, and iron-fortified cereals) Sickle Cell Anemia Common genetic condition (autosomal recessive pattern inheritance)