NURS 371 Lecture Notes - Lecture 26: Thrombocytopenia, Neutropenia, Aplastic Anemia
Document Summary
Specifically, pallor, neuro symptoms, inflammation of lips and tongue changes to tongue (sore, red, shiny), gi symptoms (n/v, pain), neuro symptoms (paresthesias, weakness, changes in thought processes), general anemia s/s. Treatment increase fe intake in meals (organ meats, green leafy veggies, beans), Vitamin b12- supplementation- orally if the deficit is due to inadquate dietary intake. If pernicious (due to lack of intrinsic factor being produced by the parietal cells)- parenterally or intranasally supplements to be absorbed (must be continued for the rest of their life. ) Teach about fe supplements & foods high in fe. Teach that pernicious anemia will need injections or nasal spray for rest of their life. A type of megloblastic anemia (causes large rbcs) from decreased b12 decreased b12 intake, problems with absorption in gi tract (surgeries) Pernicious anemia- absence of intrinsic factor that allows absorption of b12 in gi tract.
