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Case Study # 88 Iron Deficiency Anemia
Start out with a BRIEF description of your case (a maximum 9 sentences). Everyone has the text book, so do not just repeat information. Summarize you patient, the problem, and any SIGNIFICANT findings (please do not list all medical history or every single lab result) only those pertaining to the problem.
Please answer the following questions pertaining to this CASE STUDY
Answer Questions: 1, 2, 3, 4, 6, 7, 8, 9 for question 9 (list 11 only not 20), and 11
Please answer in detail pertaining to this patient and use some outside resources total number of 3 no older than 5 years as references (I provided 1 of the 3 references needed) APA format.
In the paper: Write out each question as the title before answering it and indicate the question number.
DS88-1 Case Study 88 ¦ Iron Deficiency Anemia
DISEASE SUMMARY
Definitions
Anemia is not a disease but a complication of a disease process or abnormality in body function.
It can be defined in both qualitative and quantitative terms. Qualitatively, anemia is
defined as an abnormally low number of circulating red blood cells (RBCs) or level of hemoglobin,
or both, resulting in subnormal oxygen-carrying capacity of the blood. Quantitatively,
anemia is present in adults if the hematocrit is 41% in males and 37% in females. Because
iron is an essential component of hemoglobin, a key molecule responsible for the transport
of oxygen by RBCs, iron deficiency leads to decreased hemoglobin synthesis, consequent
anemia, and impairment of oxygen delivery to tissues throughout the body. Iron deficiency
anemia (IDA) is a type of anemia that is characterized by microcytic (i.e., small), hypochromic
(i.e., pale) RBCs in the peripheral blood and low hemoglobin, hematocrit, total body iron stores,
serum iron, and serum ferritin concentrations. The pallor of RBCs in IDA reflects the associated
low hemoglobin content.
Prevalence
Iron deficiency is the most prevalent single deficiency state worldwide and affects persons of
all ages. Furthermore, IDA is the most common type of anemia internationally, occurring in
both developing and developed countries. It has been estimated that approximately one fifth
of the world population is iron deficient.
In the United States, high-risk groups include women of childbearing age—especially
pregnant or lactating women and those who lose excessive amounts of blood during menses
(a condition known as menorrhagia)—infants, children, adolescents, vegetarians, and regular
blood donors. Females demonstrate a higher frequency of iron deficiency (13.9%) than
do males (8.3%). The incidence of IDA is as high as 6% in females but only 4% in males.
Pregnant women appear to be the single largest population with IDA. Some reports indicate
that as many as half of all pregnant women may be iron deficient. Also, in the United
States, 720,000 children (˜9%) aged 1–2 years are estimated to be iron deficient, of whom
240,000 (˜3%) are anemic.
Race per se probably has no significant effect upon the occurrence of IDA. However,
because diet and socioeconomic factors play a role in the prevalence of iron deficiency, IDA
is more frequently observed in people of various racial backgrounds living in poverty. Those
at greatest risk are African-American females living in poor urban areas.
An increased prevalence of iron deficiency has also been observed in overweight children.
C A S E S T U DY
IRON DEFICIENCY ANEMIA
For the Patient Case for this case study,
see the printed book.
88
Case Study # 88 Iron Deficiency Anemia
Start out with a BRIEF description of your case (a maximum 9 sentences). Everyone has the text book, so do not just repeat information. Summarize you patient, the problem, and any SIGNIFICANT findings (please do not list all medical history or every single lab result) only those pertaining to the problem.
Example of Summary:
J.T. 61-year-old Caucasian male reports to the emergency department (ED) with the following complaint “ I’ve been having trouble breathing, my cough has gotten worst in the last three days and my ankles are swollen.” He further reports cough has gotten progressively worst especially in the morning upon awaking. The patient’s medical history shows he has smoked for the last 37 years 2 packs of cigarettes daily. Patient reports cutting back to 5 cigarettes a day since being diagnosed with COPD six years ago.
On examination his respiratory status yielded few breathe sounds on auscultation; patient was short of breath (SOB) with exertion, and unable to speak in full sentences. Patient is currently prescribed Albuterol 180mcg MDI 2 QID PRN and Ipratropium 35mcg MDI QID for his COPD. Patient reports respiratory distress continue after several uses of his Albuterol inhaler prior to his arrival to the ED. His vital signs were as follows: Respiratory rate 32bpm and labored, heart rate 110 BPM, blood pressure 165/95 mmHg, height 5’10”, and 120lbs.
Please answer the following questions pertaining to this CASE STUDY
Answer Questions: 1, 2, 3, 4, 6, 7, 8, 9 for question 9 (list 11 only not 20), and 11
Please answer in detail pertaining to this patient and use some outside resources total number of 3 no older than 5 years as references (I provided 1 of the 3 references needed) APA format.
In the paper: Write out each question as the title before answering it and indicate the question number.
Here Is a Reference you can use for 1 of 3 Needed (Below)
Bruyere, H. (2010). 100 case studies in pathophysiology. Philadelphia: PA: Lippincott,
Williams.
