Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 4 Hematologic System^183



  • Parenteral iron replacement for those who cannot tolerate or do not respond
    to oral therapy, have gastrointestinal illness, or continued bleeding:

    • iron dextran given deep IM or IV

    • iron sodium gluconate given IV

    • iron sucrose complex given IV



  • IM injection of iron using Z-track method.

  • Increase dietary intake of iron.


NURSING DIAGNOSES



  • Imbalanced nutrition, less than what body requires

  • Activity intolerance


NURSING INTERVENTION



  • Monitor intake and output.

  • Monitor vital signs for tachycardia or tachypnea.

  • Monitor for reactions to parenteral iron therapy.

  • Explain to the patient:

    • Check for bleeding.

    • Increase iron in diet.

    • Teach dietary sources of iron.




Pernicious Anemia


WHAT WENT WRONG?


The body is unable to absorb Vitamin B 12 , which is needed to make RBC, result-
ing in a decreased RBC count. More common in people of northern European
descent, the anemia typically develops in adulthood. The intrinsic factor is nor-
mally secreted by the parietal cells of the gastric mucosa and are necessary to
allow intestinal absorption of vitamin B 12. Destruction of the gastric mucosa due
to an autoimmune response results in loss of parietal cells within the stomach. The
ability of vitamin B 12 to bind with intrinsic factor is lost, decreasing the amount
that is absorbed. Typical onset is between the ages of 40 and 60.


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