2. INTRODUCTION
•Anemia is the condition in which there is
deficiency of Red blood cells or the Hemoglobin
in the blood resulting in pallor & weariness.
•Anemia is not a disease it is a clinical
Manifestation of diseases.
•Anemia can be temporary or long term
(chronic).
•WHO defined Anemia as Hb <13.0g/dl for
men&<12.0g/dl for women.For pregnant
women <11.0g/dl.
3. Iron deficiency Anemia
•IDA is the most common nutrition deficiency
in the world.This is the most common type of
Anemia cuased by shortage of iron in the
body.
•It is the condition in which blood lacks
adequate healthy red blood cells.
•Iron is a key part of RBC which helps in
producing enough Hb to carry oxygen.low
levels of iron may leave the person
tired&shortness of breath.
5. Clinical Manifestations
• Pallor
• Fatigue& weakness
• Palpitations
• Smooth tongue
• Tachycardia
• Dyspnea on exertion
• Brittlenails
• Spooning of nails or
kolionychia
• Chilosis
• Tingling & Numbness
• Missed Menstrual cycle
• Glossitis
6.
7. Etiology
•Decrease in RBC production
•Low iron diet
•GI problems
•Blood loss
•Poor absorption of iron by the body
•Pregnancy
•Lactation
•Aspirin &NSAIDS use
•Peptic ulcer disease.
13. PATIENT DEMOGRAPHICS:
PATIENT NAME: Mrs. ABC IP NO. : 21054035 UNIT:
General ward
AGE: 45 yrs GENDER: Female DOA: 05/10/21
DOD: 08/10/21
REASON FOR ADMISSION: C/O pedal edema since 1 week,
easy fatigability since 1 month
PRESENT H/O: Patient was apparently asymptomatic 1 week
ago then she developed pedal edema since 1 week.
PAST H/O: No H/O HTN/DM, melenal hemoptysis
SOCIAL HISTORY: No social history
OCCUPATION: Homemaker
23. Soap Analysis
•Subjective :
•A 45yrs female patient was admitted in the female
ward on 05/02/22.with chief complaints of pedel
edema since 1week,easy fatigability since 1month.
•Patient was apparently asymptomatic 1week ago
then she developed pedal edema since 1 week.
•Patient has no history of HTN,DM,Melenal
hemoptysis &No social history.
24. Objective :
•Based on the Lab Investigations
deficiencies are seen in
•ALT (4 – 36U/L). 38
•Hb: 11 – 16/5 g/dL – F. 6.3
14.3 – 18 g/dL – M.
•Ferritin: 10 – 120ng/mL. 573
•TIBC : 240 – 450 mcg/dL. 7
25. Assessment :
•Based on subjective data it is confirmed
that patient was suffering from pedel
edema since 1week ,easy fatigability
since 1month.
•Based on objective data the changes in
ALT levels, decreased Hb levels ,
Increased Ferritin levels & deceased
TIBC levels conclude that patient was
suffering from Iron deficiency Anemia.
28. Drug interactions
•Pantoprazole +Cyanocobalamine
•Pantoprazole decreases levels of Cyanocobalamin
by inhibition of GI absorption.
•Drug- Food Interactions
•Milk,other diary products& grapes ,corn, sorghum
which contain tannins should not be taken with
iron supplements.
29. Patient counseling
• Intake of lean red
meat,chicken,turkey,Eggs&cereals
which are best source of iron.
• Intake of more vit-C drinks&foods like
orange juice,Melon, Strawberry,Kiwi,
Broccoli,Tomatoes.
• Cooking in cast iron utensils.
• Intake of more vit B12,B9,C products
which are abundantly available from
spinach,lentils,wholegrains,dark leafy
vegetables, berries, pepper.
• Take more beetroot which is great
blood builder.
• Iron supplement may turn your stool
black so don’t panic.
• Take medications on time.
