Page 211 - Critical Maternity & Newborn Health Nursing
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6. Estimation of glucoses-phosphate dehydrogenase activity.
Treatment of Haemolytic Anemia:
1. Blood transfusion : in acute attacks.
2. Folic acid and iron therapy: may be indicated.
3. Splenectomy: may be beneficial in spherocytosis and some cases of
thalassemia major, but not to be done during pregnancy.
4. Avoid precipitating factors: as hypoxia in spherocytosis and oxidative
agents in G-6-PD deficiency.
Nursing Care of Anemic Pregnant Woman
Assessment
History:
• Present complaint.
• Nutritional history (poor dietary intake).
• Family history.
Examination:
• Pallor of the skin, conjunctiva.
• Fatigue, edema, pain in the abdomen, chest, vertebrae.
Laboratory test:
• Hb below 11 g/dl.
• Hematocrit less than 25%.
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