Analysis of Case Study on Iron-Deficiency Anemia
Iron-deficiency anemia among geriatric patients is brought about by such factors as excessive hemorrhage, extended NSAID use, and deficient iron and calcium intake. Iron-deficiency anemia in the 72-years man in the case study is caused by blood los...
Iron-deficiency anemia among geriatric patients is brought about by such factors as
excessive hemorrhage, extended NSAID use, and deficient iron and calcium intake. Iron-
deficiency anemia in the 72-years man in the case study is caused by blood loss evident in the
low Ferritin and Serum iron levels, i.e., 8 ng/mL and 42 mcg/dL, which are lower than the
normal hematological levels that are 12–300 ng/mL and 65–175 mcg/dl (Jarvis, 2016). Another
justification for the diagnosis is the high Total Iron Binding Capacity of 500 mcg/dL, deviating
from the standard range of 250–420 mcg/dL.
A common clinical manifestation among anemia patients is angina which is chest pain
resulting from insufficient cardiac blood supply (Crawford et al., 2023). The inadequate blood
supply to the heart that results in angina is caused by anemia effects of decreasing oxygen supply
and blood volume, thus causing the heart to overwork. The decreased supply of blood and
oxygen caused by anemia results in increased cardiac output as a compensatory response, thus,
angina.
Common pharmacological options for iron-deficiency anemia include the utilization of
B12 and folic acid. B12 and folic acid can be taken simultaneously among iron-deficiency
anemia patients (Crawford et al., 2023). However, it is not recommended to utilize the two
pharmacological options concurrently among geriatric patients like the 72-year-old in the case
study. Combining B12 and folic acid in elderly patients may result in nervous impairment as old
age brings about anomalies in B12 absorption; hence it is not feasible to combine the two in
intervening iron-deficiency anemia in the patient’s case.
A further query I will quiz the 72-year-old is regarding his iron intake as part of his diet.
Notably, diet and particularly intake of iron and calcium are significant considerations in iron-
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