Case Study Ms. Rose Hudgins A 53-year-old

Case Study Ms. Rose Hudgins A 53-year-old woman, Ms. Rose Hudgins, has been admitted to the medical floor for treatment of severe anemia. She has a history of renal disease and has been undergoing dialysis three times a week for a year. Ms. Hudgins has had no severe problems since beginning dialysis but has recently begun to feel quite weak and fatigued. She owns a business and has needed help with the daily aspects of the business for the past month. While the nurse is completing the admission forms, Ms. Hudgins says that she has so much to do, and does not really “have time to be sick.” However, she admits that she cannot keep up her usual pace because she is “so tired all the time.” A focused assessment reveals pallor of the skin and mucous membranes, she also complains of becoming short of breath after any activity, such as walking from her office to the car. The arteriovenous fistula on her left forearm is intact, with a palpable thrill and audible bruit. Her last dialysis was yesterday; she was able to complete the session, but it left her exhausted and she was unable to drive home. Labs: Result Reference Range WBC 5500 mm3 5,000-10,000/mm3 RBC 3.7 million/mm3 4.2-5.4 million/mm3 (females) Hemoglobin 9.5 g/dl 12-16 g/dl (females) Hematocrit 32% 37%-47% (females) Platelet Count 250,000 mm3 150,000-400,000/mm3 Iron (Fe) 48 mcg/dL 60-160 mcg/dL (females) QUESTION: 1. Ms. Hudgins asks why her red blood cells are low. What is the pathology of her lack of red blood cells?…. Be specific… 2. What could be a possible treatment(s) for her anemia based on current evidence based practice? …

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