In clinical settings, patients often present with many different types of anemia. Each type of anemia has its own causes and implications. For this reason, you must be able to differentiate between types of anemia as well as identify factors that put patients at greater risk of experiencing related complications. As you prepare for this Discussion, consider the following patient case studies:

Case Study: A 28-year old female presents for a routine physical. She has no complaints. Her personal medical history reveals asthma that is well controlled with an albuterol inhaler prn and Advair 250/50 1 puff BID. Social history reveals she is a nursing student who is a non-smoker, rarely uses alcohol, and is mostly vegetarian. Her physical exam is negative, and she is sent for a CBC/differential and lipid profile. Laboratory results reveal the following: Hemoglobin 10, Hematocrit 30.1, MCV increased.

prepare:

• Review Chapter 213 in Part 18 of the Buttaro et al. text.

• Select one of the three case studies. Reflect on the provided patient information including history, physical exams, and lab reports.

• Think about a differential diagnosis. Consider the role the patient history, physical exam, and lab reports played in the diagnosis.

• Reflect on the pathophysiology of the type of anemia that you diagnosed, as well as potential treatment options. Consider the causes of this type of anemia. Think about whether the patient should be referred for specialized care.

An explanation of the differential diagnosis for the patient in the case study that you selected. Describe the role the patient history, physical exam, and lab reports played in the diagnosis. Finally, explain the pathophysiology of the type of anemia that you diagnosed, as well as potential treatment options. Include causes for this type of anemia

References-

Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby.

Part 18, "Evaluation and Management of Hematologic Disorders" (pp. 1139-1181

Institute for Safe Medication Practices. (n.d.). Retrieved November 28, 2012, fromhttp://www.ismp.org

Courtenay, M. (2000). Reading and Interpreting the Electrocardiogram. In Advanced nursing skills: Principles and practice (pp. 39-55). London: Greenwich Medical Media. Retrieved fromhttp://assets.cambridge.org/97818411/00364/sample/9781841100364WS.pdf

? LearnTheHeart.com. (2005). ECG basics. Retrieved fromhttp://www.learntheheart.com/ecg-review/ecg-interpretation-tutorial/introduction-to-the-ecg/