NUR 4445 Hematologic System

NUR 4445 Hematologic System
1. Iron-deficiency anemia etiology
Answer
Most common anemia in children
Most common nutritional deficiency in children
Cognitive & motor deficits are risk
All screened at 9-12 months
-Annually after 12 months
-If suspicion
2. those at risk for Iron-deficiency anemia
Answer
Premature infants Infants fed formula that is not iron fortified
Infants exclusively breastfed > 4 months
-17 oz of formula per day = no supplement needed
-1 mg/kg/day PO Ferrous Sulfate or Poly-Vi-Sol
Teenage girls
3. Iron-deficiency anemia prevention
Answer
Red meat, shellfish, grains, quinoa, dark leafy greens, poultry, dried fruits, egg yolks, broccoli,
legumes/lentils
Vitamin C - helps body absorb iron more effectively
4. Iron-deficiency anemia treatment
Answer
Ferrous sulfate 3-6 mg/kg/day of elemental iron divided bid
-Give on an empty stomach with citrus
-Use a straw to prevent staining of teeth
-Side effects
nausea, constipation, green, tarry stools, GI upset, vomiting, staining teeth
Treat for 3-6 months
-Recheck hgb about 6 weeks after treatment is started