Nrs-410v Case Study 1

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Anemia Case Study Sarah E. Garcia Grand Canyon University: NRS-410V 4/26/2015 Anemia Case Study In this case study, Ms. A presented with shortness of breath and low energy that is exacerbated by her menstrual cycle. She also reports that she takes aspirin regularly during her menses and while golfing for pain and stiffness. Due to her presenting symptoms and history, Ms. A was diagnosed with anemia. This essay will identify the type of anemia that Ms. A is suffering from thorough analysis of her laboratory findings, history, and presenting symptoms. Ms. A’s presenting symptoms include shortness of breath, low energy level, and light-headedness. Her vital signs show increased heart rate and respiratory rate as well as low blood pressure. According to her history, she has had menorrhagia and dysmenorrhea for 10-12 years and takes 1,000 mg of aspirin every three to four hours for an average of six days. Her laboratory values include: * Hemoglobin: 8 g/dL (Normal 12.0- 15.5 g/dL) * Hematocrit: 32% (Normal 34.9- 44.5 %) * Erythrocyte Count: 3.1x10/mm (Normal 4.2-5.4) * Reticulocyte Count: 1.5% (Normal 0.5- 1.5%) * Microcytic & Hypochromic cells According to her symptoms, history, and laboratory results, it would be safe to assume that Ms. A is suffering from iron deficiency anemia. This condition is common among females that have a history of menorrhagia, or heavy menstrual flow (Mayo Clinic, 2014). Hallmark symptoms of iron deficiency anemia include low energy, shortness of breath, dizziness, and abnormal lab values like low hemoglobin and hematocrit, low erythrocytes, and immature red blood cells (Cafasso, 2012). Ms. A demonstrates all of these symptoms. Her hemoglobin, hematocrit, and erythrocyte counts are all low and the presence of microcytic and hypochromic red blood cells indicate immaturity of cells. Her

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