1. how do you relate in this?

1. how do you relate in this? As a nurse , how this resonates with you? 2. As a nurse, What aspects of your this post did you find most interesting…. please explain…. and why? i need fACTS and comments etc. =) Ms. Hudgins asks why her red blood cells are low. What is the pathology of her lack of red blood cells? Be specific as to Rose’s cause in the above case study. According to our textbook, ” Anemias are conditions in which there are too few erythrocytes or an insufficient volume of erythrocytes in the blood “. This decrease in the number of RBCs could be from blood loss, increased destruction of RBCs as in hemolysis, or decreased production of RBCs or any combination of the three. Many people on dialysis have anemia because: 1) Their kidneys are not making enough of the hormone erythropoietin which helps your body make blood red cells; 2) During hemodialysis patients lose some blood; 3) Patients may have low levels of iron and iron is needed to make hemoglobin. 4) Patients may have low levels of vitamin B12 or folate and these are needed to make red blood cells. Ms. Hudgins RBC (red blood cells) test is low so she definitely has anemia. RBC have hemoglobin which is a protein that delivers oxygen from the lungs to the tissues and carbon dioxide from the tissues to the lungs. The oxygen binds to heme on the hemoglobin molecule for transport. Also, Ms. Hudgins Hemoglobin test is low which means she has low oxygen levels and explains the shortness of breath. Her Iron levels are low so her body is not making enough hemoglobin in the RBC to carry oxygen. Ms. Hudgins red blood cells are most likely low due to some combination of blood loss, increased destruction of RBCs , and decreased production of RBCs. What could be a possible treatment(s) for her anemia based on current evidence based practice? Possible treatments for Ms. Hudgins include Erythropoiesis-stimulating agents (ESAs), iron supplements, or blood transfusions. If she has any other health issues such as diabetes, inflammation, chronic kidney disease, cancer, transplantation, etc …, then her anemia treatment becomes more difficult to manage. Depending on the nature of any other health issues her responses to anemia treatments may not be very good. The article by Raichoudry and Spinowitz (2021) discusses other treatments for these situations.

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