Anemia
Patient Profile
D.G., a 72-year-old male whose wife died six months ago, is brought to the health care provider by his daughter because he is not eating much and has been lethargic and sleeping a lot. He has a history of hyperlipidemia for which he takes niacin/lovastatin (Advicor) 500/20 mg PO daily at bedtime.
Subjective Data
Has been unusually tired for the past couple of months
Is frequently short of breath and sometimes feels like his “ heart is pounding”
Has lost weight because his wife always used to cook for him and he doesn’t cook for himself
Describes a typical daily meal as coffee and a donut for breakfast, a hot dog and lemonade for lunch, and a jelly sandwich on white bread and coffee for supper.
Objective Data
Physical Examination:
Blood pressure 118/72, pulse 98, temperature 98.2° F, respirations 16
Oxygen saturation 92% on room air
Height 5’6”, weight 135 lbs, BMI 21.7 kg/m2
S1 and S2 auscultated and regular
Bilateral radial pulses +3 and regular
Lungs clear bilaterally
Diagnostic Studies
RBC 3,300,000/µL
Hemoglobin 8.3 g/dL
Hematocrit 24%
MCV 73 fL
MCH 23 pg
WBC 9,100/µL
Platelets 250,000/µL
Iron 28 mcg/dL
Ferritin 14 ng/mL
Cobalamin 600 pg/mL
Folate 10 ng/mL
Question: Interpret D.G.’s laboratory results.
Question: Based on the laboratory data and assessment findings, the health care provider diagnoses D.G. with iron deficiency anemia. What clinical manifestations of iron deficiency anemia does D.G. have?
Question: Explain iron deficiency anemia and identify the probable cause of D.G’s anemia.
Question: How is iron deficiency anemia treated?
Question: Identify dietary iron sources to include in D.G.’s teaching.
Question: What are important points to include when teaching patients taking oral iron supplements?
Question: What evaluative parameters could you use to determine whether D.G.’s anemia is resolving?
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