What is the nursing diagnosis for anemia
from Greek: haima - blood
As anemia is called one
The standard of a population is used as a comparison value. The result is an insufficient transport capacity for oxygen.
According to the WHO definition, anemia occurs at a hemoglobin concentration of <12 g / dl (women) or <13 g / dl (men).
Anemia can be systematized according to various criteria - albeit only unsatisfactorily. Different systematics compete in the medical literature. The classification is made more difficult by the fact that "anemia" is often not an independent disease, but a symptom that indicates another underlying disease.
For the system of the ICD, see Diseases of the Blood and Blood-Forming Organs.
2.1 ... according to aspect or morphology
2.2 ... after etiopathogenesis
2.3 ... according to cell turnover
2.4 ... according to the course
- acute anemia
- chronic anemia
2.5 ... after occurrence
- congenital anemia
- acquired anemia
2.6 ... according to the accompanying circumstances
The clinical picture of anemia depends on the exact cause and the degree of the hemoglobin deficit. However, some symptoms can occur with all forms of anemia because they are a result of the reduced capacity for oxygen to transport. They are called those general symptoms of anemia:
The timeline also plays a role. Gradual anemia is better tolerated than sudden loss of blood.
The basis of anemia diagnosis is the differential blood count with the erythrocyte indices. In addition, the most important parameters of iron metabolism (ferritin, possibly also transferrin and iron), the reticulocyte count with reticulocyte production index and reticulocyte hemoglobin, vitamin B12 and folic acid are determined.
For more information, see main article:Anemia diagnostics
The therapy depends on the respective pathogenesis of the anemia. If the anemia is caused by another underlying disease (e.g. a tumor), this must be treated. If there is a lack of substrate, the missing substances (iron, folic acid, vitamin B12) are substituted. In the case of renal anemia, erythropoietin is also given.
An erythrocyte transfusion may be necessary in severe anemia.
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