Page 909 - Saunders Comprehensive Review For NCLEX-RN

treat iron overload and to prevent organ damage
from the elevated levels of iron caused by the
multiple transfusion therapy.
3. If the child has had a splenectomy, instruct parents to
report any signs of infection because of the risk of
sepsis.
4. Ensure that parents understand the importance of the
child receiving pneumococcal and meningococcal
vaccines in addition to an annual influenza vaccine
and the regularly scheduled vaccines.
5. Provide genetic counseling to parents.
V. Iron Deficiency Anemia
1. In iron deficiency anemia, iron stores are depleted,
resulting in a decreased supply of iron for the
manufacture of hemoglobin in red blood cells; red
blood cells are microcytic and hypochromic.
2. Refer to Chapter 44 for additional information
VI. Aplastic anemia
1. A deficiency of circulating erythrocytes and all other
formed elements of blood, resulting from the arrested
development of cells within the bone marrow;
pancytopenia, a deficiency of erythrocytes, leukocytes,
and thrombocytes occurs.
2. Refer to Chapter 44 for additional information

Liquid iron preparation may be prescribed used to treat iron

deficiency anemia. Teach the parents and child that liquid iron should be
taken through a straw and that the teeth should be brushed after
administration.

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