Lesson Plan ON Nutritional Anemia: Submitted To: Submitted by
Lesson Plan ON Nutritional Anemia: Submitted To: Submitted by
ON
NUTRITIONAL ANEMIA
PRINCIPLE LECTURER
H.I.I.N.E H.I.I.N.E
ANDHERI (E) ANDHERI (E)
DATE- 26.03.2012
TIME – 10.00 AM
SPECIFIC OBJECTIVES:
AT THE END OF PRESENTATION, GROUP WILL BE ABLE TO-
DEFINE OR TELL THE MEANING OF ANAEMIA.
CLASIFY THE ANAEMIA.
KNOW REQUIREMENT OF IRON FOR DIFFERENT AGE GROUPS.
EXPLAIN CAUSES AND CLINICAL FEATURES OF NUTRITIONAL DEFICIENCY ANAEMIA
EXPLAIN ASSESMENT AND DIAGNOSTIC FINDINGS.
DESCREIBE THE TREATMENT OF NUTRITIONAL DEFICIENCY ANAEMIA
S. N. SPECIFIC TIME CONTENT TEACHING A.V. BLACK EVALUTION
OBJECTIVE LEARNING AIDS BOURD
ACTIVITY ACTIVITY
INTRODUCTION:
DEFINITION:-
1 Group will be 05 Lecture cum Chart What is
able to define mins Anemia is a condition of a Lower then normal level Anemia ?
discussion.
anemia. of hemoglobin, reflect fewer than normal RBcs.
Within the circular. As a result the amount of O2
delivered to body tissue is also diminished.
CLASSIFICATION OF ANEMIA
2 Group will be 10 Lecture cum Flash Lecture What are the
able to mins There are many kinds of anemia but all can discussion Card classification
classify of Anemia ?
be classified in to three etiologic categories:-
anemia.
IRON SUPPLIMENTATION
Several iron preparation- ferrous sulfat, ferrous
glunate &ferrous fumarate –are available for
treating iron deficiency anemia. One tablets of
iron sulfate provide 60 mg of elemental iron. Thus
it is important to continue iron for as long as 6-12
month..
In some cases, oral iron is poorly
absorbed or poorly tolerated or needed in large
amount. In this situation IM or IV of iron dextron
may be needed. Iron dextron should be injected
deeply into each buttock using the z track
technique.
NURSING MANAGEMENT
- Preventive education is important because iron
deficiency anemia is common in menstruating
and pregnant women.
- Taking iron rich food with a source of vit-C
enhances absorption of iron.
- Nutritional counseling can be providing.
- The nurse encourage patient to continue
Iron therapy as long as is prescribed.
MEGALOBLASTIC ANEMIA
Anemia cause by vitamin B12 deficiency and folic
acid are called megaloblastic anemia because they
are characterized by the appearance of
megaloblastic (large primitive RBCs ) in blood and
bone marrow.
Common feature of megaloblastic anemia
- Leucopenia, a decreased number of WBCs.
- Thrombocytopenia, a decreased number of
platelet.
- Oral, GI and neurological manifestations.
- A favorable response to injections of either
vitamin B12 or folic acid.
PERNICIOUS ANEMIA
Pernicious anemia is a type of narcotic anemia
caused by failure of absorption vitamin B -12. Lack
of gastric acid may lead to pernicious anemia.
Causes-
1.lack of gastric acid
2. Autoimmune response.
3. Surgical removal of ileum.
Clinical manifestation
-low Hb, haematocrit and RBC level.
-neurological disorder.
-absence of HCL.
-Low volume gastric acid secretion.
Outcome management
1.Vitamin B-12
Client with pernicious anemia need both immediate
and life long therapy with maintenance of vitamin
B-12.during the acute phase of illness, client may
be given vitamin B12 injection. Peripheral nerve
function may improve the treatment.
2.iron supplement
Injection of vitamin B-12 may cause rapid
regeneration of RBC that depletes iron.
3.folic acid
It is some time given with vitamin B-12 to client
with a history of poor nutrition.
4.digestants
Dagestan’s to enhance the metabolism of vitamin
such as HCL diluted in water and given with meal,
are often used during the first few weeks of vitamin
B-12 therapy.
OUTCOME MANAGEMENT
CONCLUSION
BIBLIOGRAPHY