Anemia Treatment And Nursing Role

ANEMIA

Iron Deficiency Anemia

It is the most prevalent nutritional disorder among children. Iron is essential for the production of Hb and it’s deficiency may be due to:

  • Insufficient iron in the diet.
  • Failure to absorb iron in the gastrointestinal tract.
  • Hook worms.

Clinical manifestation:

Poor muscle tone, slow motor development,weakness,pallor,spleen may be palpable.

Nursing management:

  1. Iron orally2-3 times/day for 6-8 weeks.
  2. Blood transfusion may be required.
  3. Protect the child from infection especially respiratory infection.

Megaloblastic anemia

Caused by deficiency of folic acid and or vitamin B12.

Clinical features:

Pallor(lemon color),palpable spleen.

Treatment:

  • Folic acid tablet+ vitamin B12 injection.
  • Vitamin B6 deficiency anemia
  • Vitamin B6is necessary for Hb formation,usualy anemia occur as a result of a decrease vitamin B6absorption.

Treatment:

vitamin B6 injection.

Blood loss

Anemia from sudden massive blood loss is most often caused by traumatic accident or injury. It lead to pallor,dizziness,weakness,weak and rapid pulse, hypotention.

Treatment:

-Immediate care is to stop bleeding and restoring blood volume with IV fluid, blood transfusion.

Diet: increase protein intake with supplementary vitamins and iron.

Blood destruction

Hemolytic disorder caused by abnormal destruction of RBC ,the most common types in children are hemolytic disease of newborn(erythroblastosis fetalis) due to ABO incompatibility or Rh incompatibility.

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Posted in Nursing Care Plans, Nursing Intervention, Pediatrics

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