(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.
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Enhance absorption: Eat with vitamin C (e.g., citrus fruits).
A) Elevated serum ferritin
IV IRON
B) Decreased total iron-binding capacity (TIBC)
4. A patient with iron deficiency anemia is prescribed oral iron supplements. Which instruction should the nurse include?
D) Take iron supplements immediately before bedtime.
Faster iron repletion in severe cases.
A) Vitamin B12 deficiency
D) Genetic disorders
Causes mild to severe anemia depending on the type
Stage 1 - Iron stores decrease. Your low iron supply hasn’t affected your red blood cells yet.
Reticulocyte Count: Low or normal (indicates reduced RBC production)
Signs and symptoms
Side effects: Constipation, dark stools, nausea.toms of the patient
Palpitations
A) Fatigue
A) Take the iron supplement with milk to enhance absorption.
D) Pale skin
Avoid inhibitors: Don’t take iron with dairy, coffee, or tea.
BONE MARROW BIOPSY
DIAGNOSTIC
- Impaired iron absorption:
Used when oral iron isn’t tolerated or absorbed. EX: Iron sucrose, ferumoxytol
C) Iron deficiency
Chronic inflammation or illness (e.g., infections, cancer, autoimmune diseases).
Due to lack of folic acid (a B vitamin)
RBC Count: Low or normal
Gastric Surgery: Procedures like gastric bypass reduce the stomach’s ability to absorb iron.
Thalassemia
B. Take on an empty stomach with vitamin C to improve absorption
- Infancy and Childhood: Rapid growth in infants and toddlers increases iron needs.
IRON STUDIES:
Cold hands and feet
Increase iron-rich foods: red meat, beans, spinach, fortified cereals.
TYPES OF ANEMIA
Inadequate Iron Intake:
Pallor
C) High blood pressure
Dizziness
Inherited disorder where red blood cells become crescent-shaped and break down easily
Brittle nails
D) Increased mean corpuscular volume (MCV)
- As seen in Vegetarians and vegans, they may have particular difficulty obtaining sufficient heme iron from plant-based sources, as non-heme iron is less efficiently absorbed by the body.
A. Ferrous sulfate or ferrous gluconate
HOW IT WORKS: iron deficiency anemia is due to insufficient iron. Without enough iron, your body can't produce enough of a substance in red blood cells that enables them to carry oxygen (hemoglobin).
- Adolescence: Increased iron demand
USED IN SEVERE CASES
MCV (Mean Corpuscular Volume): LOW
Chronic Inflammatory Diseases: Conditions like inflammatory bowel disease (IBD), Crohn’s disease, or ulcerative colitis can affect iron absorption.
Stage 2 - When iron stores are low, your body alters the way it processes red blood cells. Your bone marrow makes red blood cells without enough hemoglobin.
Anemia is the most common blood disorder, and it affects more than 3 million Americans.
Rarely performed but can be used to confirm iron deficiency if other diagnostics are inconclusive.
3. Which laboratory finding is most indicative of iron deficiency anemia?
B) Chronic diseases
- Pregnancy: Pregnant women require more iron to support the developing fetus and increase blood volume.
Hematocrit (Hct): Low
Anemia of Chronic Disease (ACD)
TREATMENT
Sickle Cell Anemia
Inherited blood disorder that affects hemoglobin production
Serum Iron: Low
Aplastic Anemia
Anemia is a blood disorder that occurs when the body lacks sufficient red blood cells or hemoglobin, an iron-rich protein that carries oxygen from the lungs to tissues throughout the body. While some forms of anemia are inherited, individuals can
IRON SUPPLEMENTS
1ST LINE OF TREATMENT
SOB
Surgery or Trauma: Major surgeries or accidents may lead to blood loss.
Stages of iron deficiency anemia
Caused by low levels of vitamin B12
C) Low hemoglobin and hematocrit levels
Iron deficiency anemia is a common type of anemia
Especially important during pregnancy
Folate Deficiency Anemia
Ferritin: LOW
Craving ice or clay
CBC:
Vitamin B12 Deficiency Anemia (Pernicious Anemia)
Iron deficiency
Fatigue
B) Shortness of breath
Common in people with poor diets, alcoholism, or malabsorption issues
- Gastrointestinal Bleeding: Conditions like ulcers, gastritis, or hemorrhoids can cause chronic blood loss.
Leads to chronic anemia, pain crises, and organ damage
May result from poor intake or inability to absorb B12
stage 3 - Hemoglobin drops below the normal range.
B) Iron supplements may cause stools to become dark or black.
Can cause neurological symptoms if untreated
Celiac Disease: A disorder that affects nutrient absorption in the small intestine.
-
DIETARY CHANGES
A rare condition where the bone marrow fails to produce enough red blood cells
QUESTIONS
TIBC (Total Iron-Binding
1. Which of the following is the most common cause of anemia worldwide?
C) Decrease intake of vitamin C while on iron therapy.
Can be caused by autoimmune disease, certain medications, or toxins
Capacity): HIGH
- Increased iron loss:
BLOOD TRANSFUSION
2. Which of the following is NOT a common symptom of iron deficiency anemia?
- A poor diet lacking in iron-rich foods, such as red meat, leafy greens, beans, and fortified cereals, can lead to iron deficiency.