Nursing care plan for IRON DEFICIENCY ANEMIA

IRON DEFICIENCY ANEMIA

IRON DEFICIENCY ANEMIA:

  • Occurs when there is reduced Fe and protein.
  • Most common form of anemia.
  • Pernicious anemia: Lack of intrinsic factor Vitamin B12 Malabsorption.


Common reactions of IRON DEFICIENCY

  • Fatigue
  • Malaise
  • Weakness
  • Headache
  • Dyspnea
  • Petechiae
  • Tachypnea
  • palpitations
  • chest pain
  • Stomatitis
  • Pale mucus membrane.
  • Cold extremities.
  • Jaundice
  • Hematoma
  • sore painful gum

 

Management ( Iron deficiency)

Medical

  • Correction of the underlying cause.
  • Diet-Rich in Fe-beans, peas, liver, peanuts.
  • Medications—oral administration of ferrous sulphate, ferrous gluconate.
  • IM iron (inferon)

Nursing responsibilities:

  • Give in divided doses.
  • Give immediately after meals.
  • Give with a straw. Clean teeth, and rinse mouth
  • Warn that stool may greenish .
  • Give vitamin C rich juice/food
  • IM injection: deep Not to exceed 2ml at once. Rotate sites for proper absorption. Use Z-tract technique.

 

Nursing diagnoses of Iron deficiency

  • Activity intolerance related to poor tissue oxygenation.
  • Pain related to joint inflammation.
  • Altered tissue perfusion related to sickling of red cells.
  • Anxiety related to outcome of disease condition.

 

Nursing INTERVENTIONS of Iron deficiency

Altered tissue perfusion

  • Give oxygen
  • Bed rest.
  • Monitor vital signs.
  • Observe urine for signs of blood.
  • Give prescribed fe medicaton.

Knowledge deficit.

  • Assess level of knowledge.
  • Genetic counselling.

Pain

  • Assess level of pain.
  • Apply warm packs.
  • Use distraction technique.
  • Give pain medication.

 

Nursing Care Plan for Iron Deficiency

GOAL

  • Prevention of complication

ACTIONS

  • Assist with ADL.
  • Give medications as prescribed- vit.B12., folic acid, iron capsules and mixtures, analgesics.
  • Teach client on dietary adjustment.
  • Teach client that Fe is absorbed readily With vit C.

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