Instruct the patient not to take NSAIDs or antacids
#Signs of low hematocrit and hemoglobin skin
In the acute phase, it’s important to closely monitor the blood count for critically low hemoglobin, hematocrit, and plateletsĪssess the patient’s skin for worsening ecchymosis or petechiaeĮcchymosis and petechiae are evidence of bleedingĮspecially for women with heavy periods, a birth control prescription can significantly decrease blood loss and lessen the risk of developing iron-deficiency anemia Iron stores must be repleted to fix the root cause of the anemia Long-term goal: The patient will continue iron supplementation at home and maintain normal blood levels of iron and platelets Nursing interventions with rationales for anemia – Risk for bleeding Nursing Interventions Short-term goal: The patient’s vital signs and labs will remain stable with no worsening signs of bleeding by the end of the shift Risk for bleeding related to low iron and abnormal RBC production as evidenced by low hemoglobin, hematocrit, and platelets. The patient reports fatigue, weakness, and shortness of breath.Advertisements #1 Sample Nursing Care Plan for Iron Deficiency Anemia – Risk for Bleeding Nursing Assessment The patient is admitted to the hospital with Iron Deficiency Anemia. A peripheral smear shows small, hypochromic red blood cells. Further blood work reveals iron is 9 umol/L and ferritin is 8.3 ug/L. Platelets are slightly decreased at 130 K/mcL. RBCs are 3.32 x10^6/mcL and WBC are normal at 7.73 K/mcL. The CBC reveals low hemoglobin at 8.4 g/dL and low hematocrit at 26.24 L/L. She is alert and oriented, and her lung sounds are clear upon auscultation.
Her temperature is 37.5 C, heart rate is 96 BPM, blood pressure is 98/46 (59) mmHg, and oxygen saturation is 98% on room air. Upon assessment, the patient is noted to be pale with scattered bruising and petechiae. The patient recently became a vegetarian and verbalized “maybe I’m just low on protein.” Her past medical history includes menorrhagia and her last menstrual period was 2 weeks ago. The patient reports feeling fatigued for the last few months but noticed a big change yesterday morning when she wasn’t able to complete her morning walk due to shortness of breath and muscle soreness.
Iron Deficiency Anemia Case ScenarioĪ 20-year old female presents to the emergency department with reports of fatigue, weakness, and shortness of breath with activity for the last week. Here we’ll create three sample nursing care plans for anemia based on a hypothetical case scenario.