what diagnostics and therapeutics , and when
what diagnostics and therapeutics , and when to follow-up would you list for the following case study of iron deficiency anemia being the primary diagnosis Unit 10 Anemia, And Infectious Diseases Pertinent Positive Findings Frequently tired Increased sleeping patterns Past medical history and family history show major illnesses Has pale appearance Experiences shortness of breath during physical activities Has high blood pressure of 125/95 Is more forgetful Experiences tingling and numbness Has a pale conjunctiva Has angular cheilitis Strictly follows a vegetarian diet Pertinent Negative Findings Denies sleeping difficulties, fever, chills, and weight gain/loss Denies palpitations, chest pain, and leg edema. Has vaginal bleeding, dark, tarry, or bloody stools Denies wheezing, cough, and trouble breathing Denies dizziness, poor appetite, and lightheadedness No abnormalities in ear, head, or nose Absent weakness in strength and headache Depression is well managed No joint pain or swelling Denies abdominal pain, N/V/D Additional Information How long has the patient had a vegetarian diet? Has the patient had these symptoms before? Did the symptoms begin after becoming a vegetarian? How long has she had depression symptoms? Differential Diagnosis Iron Deficiency Anemia (IDA) D50.9 – The patient’s age and diet are major risk factors of IDA. Similarly, the patient experiences several symptoms related to the disease including pale skin and conjunctiva, shortness of breath after a physical activity, and frequent fatigue (Warner & Kamran, 2022). Thus, the patient is likely suffering from IDA. Major Depressive Disorder (MDD) F32.0 – The patient could be likely depressed as she experiences extreme fatigue, memory loss, and increased sleep (Surova et al., 2021). Also, the patient’s gender and being diagnosed with the illness for several years are risk factors. Similarly, failure of treating IDA sooner exposes her more to depression (Warner & Kamran, 2022). Hypothyroidism E03.8 – The patient may have hypothyroidism due to symptoms like forgetfulness and shortness of breath (Rawat & Sharma, 2021). Therapeutic: Plan The patient must be started iron supplementation which must be taken without food to escalate absorption. The patient should limit physical activities until anemia is corrected. She should be educated on compliance with her medication and how to observe symptoms of anemia (Warner & Kamran, 2022). The patient should also be instructed on having a nutritional diet as her vegetarian diet may be lacking in enough iron. Thus, she can be advised to start taking iron-fortified milk formulas and red meat especially for her age. References Rawat, D. & Sharma, S. (2021). Case Study: 60-Year-Old Female Presenting With Shortness of Breath. [Updated 2021 Dec 3]. In: StatPearls [Internet]. Treasure Island (FL). StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499852/ Surova, G., Ulke, C., Schmidt, F.M. et al. (2021). Fatigue and brain arousal in patients with major depressive disorder. Eur Arch Psychiatry Clin Neurosci 271, 527-536. https://doi.org/10.1007/s00406-020-01216-w Warner, M.J. & Kamran, M.T. (2022). Iron Deficiency Anemia. In: StatPearls [Internet]. Treasure Island (FL). StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK448065/ SCIENCE HEALTH SCIENCE NURSING NU 627
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