2/25/22 Medical Surgical Nursing-Ii 1

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2/25/22 MEDICAL SURGICAL NURSING-II 1

Anemia

 Anemia is defined as the low RBC’s


(erythrocytes) counts.
 Normal values:
 Male: 14-16 gm
 Female 13-15 gm

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Anemia

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Types of the anemia:

 Iron deficiency anemia:


 Iron deficiency anemia is defined as iron is insufficient in
the body and erythrocytes are not formed and result in
iron deficiency anemia occurs.
 Etiology:
 Mal-absorption
 Decrease in iron diet
 Gastritis
 Intestinal worms
 Excessive menstrual bleeding
 Loss of blood
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Types of the anemia:

 Megablastic anemia:
 Anemia due to the deficiency of Vitamin B-12
and folic acid, which are essential for DNA
synthesis due to deficiency of large number
of nucleotides immature (cells) magablast.
 Etiology:
 Deficiency of vitamin B-12
 Deficiency of folic acid

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Types of the anemia:

 Pernicious anemia:
 This is anemia which is caused due to the
deficiency of vitamin B-12.
 Etiology:
 Deficiency of vitamin B-12
 Insufficient of intrinsic factor
 Mal-absorption of the vitamin B-12
 Intestinal worms
 Mal-nutrition
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Types of the anemia:

 Hemolytic anemia:
 In this anemia, life of erythrocytes (80-120
days) becomes short bone marrow is unable
to form adequate amounts of erythrocytes
which are destroyed by disease such as:
Malarial Parasite

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Types of the anemia:
 Anemia due to the Chronic Disease
 Some chronic disease such as; tuberculosis,
Osteomyelitis cancer they decreases the count of
erythrocytes.
 Aplastic anemia:
 Bone marrow disorder characterized by abnormal
depression of cellular elements of blood due to the
reduction of erythrocytes.
 Sickle cell anemia:
 A genetically determined defect of the hemoglobin
synthesis characterized by presence of sickle cell anemia.
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Clinical features

 Pallor of mucus membrane


 Hypotension
 Hypovolumia
 Cold & bluish extremities
 Hypothermia
 Tachycardia
 Nail cracking

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Clinical features

 Brittle nails
 Dimminess of vision
 Headache
 Pale face
 Stomatitis
 Inflammation of tongue
 Drowsiness
 Dysponea
 Giddiness
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Investigation

 CBC
 ESR
 Hb test
 Serum for vitamin
 Blood for parasite test
 Urine DR

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Medical management

 Iron sulphate 225mg TDS


 Inj: vitamin B12
 Inj: Cobolmin
 Blood transfusion in severe case

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Nursing Management
 Advised for sufficient sleep.
 Advised for well balanced diet full with iron, vitamins, and
proteins.
 Carbohydrates and pretentious food encouragement.
 Extra warmth should be provided for hypothermia.
 Irritant foods, beverages and alcohol should be restricted.
 TPR & BP should be recorded.
 Mouth care should be provided to prevent from Stomatitis.
 Skin care should be given to prevent from bed sore.
 Maintains I/O chart.
 Maintain oxygen inhalation.
 Educate the patient for the hygienic purpose.
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