Looking for help with an assignment? Connect with an assignment Expert Now!

Hematopoietic and Cardiovascular Case Studies

Hematopoietic and Cardiovascular Case Studies. Post Reply:

Instructions: Respond to this post by extending, refuting/correcting, or adding additional nuance to their posts. The reply must be constructive and use literature. Reply must be in current APA style with at least two academic references.

Hematopoietic and Cardiovascular Case Studies

Based on the presenting complaints and past medical history, factors that may be contributing to J.D.’s increased risk of developing iron-deficiency anemia include intermenstrual vaginal bleeding, along with the consumption and chronic use of ibuprofen.   (Dlugasch et al., 2021) Given the fact that she reports increased urinary frequency and mild incontinence may be contributing factors to the possibility of presenting constipation and dehydration. She is also taking a diuretic which would further put her at risk for both conditions. J.D. might possibly be restricting her water intake to counter and avoid the symptoms of increased urinary frequency and mild incontinence since both can cause social awkwardness.

In addition to the diuretic, she is taking a centrally acting antihypertensive agent which may also contribute to constipation. Vitamin B12 and folic acid are important in the production of red blood cells because when a person is deficient in either one of these areas, this might cause abnormalities to the red blood cells. When the blood cells are produced abnormally it interferes with their function as well. (Ndem et al., 2021)  For this reason, it is imperative that individuals have adequate amounts of both vitamin B12 and vitamin B9 in their diets.

J.D.’s gynecologists likely suspect that she is experiencing iron deficiency anemia due to the presenting complaints of intermenstrual vaginal bleeding which has been persistent over the past couple of months. In addition to the intermenstrual bleeding, she reports extreme fatigue and weakness, both clinical symptoms of iron deficiency anemia. (Rabbani et al., 2021)

If J.D. is diagnosed with iron deficiency anemia, I would expect to find signs within her lab work that would further support the diagnosis. Such signs would include low hemoglobin and a low hematocrit as well as low ferritin and low uniformity in the size of the red blood cells. These are all signs that are consistent with this diagnosis. J.D.’s lab results are as follows: Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Are consistent with the diagnosis of iron deficiency anemia. The normal reference ranges for women aged 37 are as follows for these labs: Hemoglobin. 14-18.0g/dL, Hematocrit 42-52%, ferritin 10-120ng/mL. (Dlugasch et al., 2021)

I would recommend further diagnostic testing such as an ultrasound to determine the underlying cause of the intermenstrual bleeding. This patient may have another condition such as uterine fibroids which is consistent as well with the menorrhagia she reports. In addition, an assessment of alternate pain control measures may be needed since her pain isn’t well controlled despite the chronic use of ibuprofen. Ibuprofen puts her at an increased risk for developing an ulcer which can then lead to an additional bleeding source. Furthermore, an assessment of the type of diuretic she is on to control her hypertension should be considered since frequent urination and fatigue may stem from it. Lastly, I would recommend treatment with an iron supplement in addition to dietary changes to include foods that are high in iron, vitamin C to aid in the absorption of iron and exclusion or limitation of milk as it slows the absorption of iron. (Dlugasch et al., 2021)

References

Dlugasch, L., Story, L., & Story, L. (2021). Applied pathophysiology for the advanced practice

nurse. Jones & Bartlett Learning.

Rabbani, S., Farooq, M., Naeem, S., Naeem, M. A., Uddin, N., & Zubair, M. (2021). Relationship between

Red Blood Cell and Platelet Indices in Iron Deficiency Anemia. Pakistan Armed Forces Medical

Journal71(2), 575–578.

Ndem, B. N., Akwiwu, E. C., Akpan, P. A., Akpotuzor, J. O., Bassey, I. E., Isong, I. K., &

Onukak, E. E. (2021). Timely accessing of antenatal care and prevalence of vitamin B12

and folate deficiencies among pregnant women in a Nigerian population. New

Journal of Medical Laboratory Science75(1), 12–15.

Instructions: Respond to this post by extending, refuti

Hematopoietic and Cardiovascular Case Studies

Get a Quick Quote

Approximately 250 words
Total price (USD) $: 10.99

Spend Hours doing a Paper or spend just $33 for a 3 page essay?

Tired writing homework

Reviews from Clients who Ordered this Paper

Our Benefits

Take a look at the characteristics of our custom essay writing service. We ensure that not only will your essay be delivered on schedule, but that it will also be of the finest possible quality.

Guaranteed Customer Satisfaction

We are always available to help with any revisions and deliver flawless results

Quick Results

Any deadline can be met. 400+ dedicated writers are waiting to finish your essay in as little as three hours.

Support is available

We’re here for you at all times and can answer in as little as one minute.

All papers reviewed

We examine our own database of completed orders to ensure that you always get original work.
b

Provide Detailed Instructions

  • Fill in instruction details on the order page such as length, title, slides, subject etc. and upload neccesary attachments
  • Provide additional parameters which you would like for your order such as writer category, formatting requirement, sources etc.

Login & Complete Payment

  • Once logged & completed payment, your order will be put to bid and assigned to suitable writer who matches your requirements.
  • The order is moved to ‘in progress’ on this stage.

Writing, Editing & Proofreading

  • Once the writer completes your order, he or she forwads it to the editing team for review.
  • The order is scrutinized for syntax or grammar error and checked for plagiarism with softwares such as turnitin.
h

Download Your Final Document

  • Upon satsfaction by the editing team, your order is moved to ‘completed’ tab where you can download final copy.
  • You can tip writer if you are satisfied with the order.
  • Approve the order or ask for revision if unsatisfied

Having a rough time with your urgent homework?

Place your order today and get it delivered before your deadline