Government College of Nursing Jodhpur: Presentation On Anemia and Nutritional Deficiency

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GOVERNMENT COLLEGE OF NURSING

JODHPUR

SUBJECT – Obstetrics and


gynecology nursing

Presentation
On
Anemia and nutritional deficiency

SUBMITTED TO: SUBMITTED BY:


Jyoti bala

Nursing lecturer PRIYANKA GEHLOT


M.Sc NSG (PREV)

GCON, JODHPUR BATCH 2019


ANEMIA AND NUTRITIONAL DIFICENCY

INTRODUCTION:

Anemia is a major killer in India. Statistics reveal that every second Indian woman is
anemic One in every five maternal deaths is directly due to anemia. Anemia affects both
adults and children of both sexes, although pregnant women and adolescent girls are most
susceptible and most affected by this disease.

DEFINITION:

Anemia (An-without,emia-blood)is a decrease in the RBC count, hemoglobin and/or


Hematocrit values resulting in a lower ability for the blood to carry oxygen to body tissues.

PATHOPHYSIOLOGY:

NORMAL VALUES

Category Reference Values

Men >13 g/dl

Women >12 g/dl

Pregnant women >11g/dl

Infants from 2 to 6 months >9.5 g/dl

Children from 6 months to 24 months >10.5 g/dl

2yrs to 11 yrs >11.5 g/dl

Children from 12 years >12 g/dl Category Values Reference Men >13 g/dl Women >12 g/dl
Pregnant women >11g/dl Infants from 2 to 6 months >9.5 g/dl Children from 6 months to 24 months
>10.5 g/dl 2yrs to 11 yrs >11.5 g/dl Children from 12 years >12 g/d

TYPES OF ANEMIA Based on clinical picture- Iron deficiency anemia. Megaloblastic


anemia. Pernicious anemia. Hemorrhagic anemia. Hemolytic anemia. -Thalassemia
anemia -Sickle cell anemia Aplastic anemia

Iron deficiency anemia ♣ excessive loss of iron . ♣ Women are at risk. ---- For menstrual blood and
growing fetus. Megaloblastic anemia ♣ Less intake of vitamin B 12 and folic acid. ♣ Red bone
marrow produces abnormal RBC. e.g cancer drugs Pernicious anemia ♣ Inability of stomach to
absorb vitamin B 12 in small intestine. TYPES OF ANEMIA Hemorrhagic anemia ♣ Excessive loss of
RBC through bleeding,stomach ulcers,menstruation Hemolytic anemia ♣ RBC plasma membrane
ruptures. ♣ may be due to parasites,toxins,antibodies. Thalassemmia ♣ Less synthesis of
hemoglobin .Found in population of Mediterranean sea. Sickle cell anemia ♣ Hereditary blood
disorder, characterized by red blood cells that assume an abnormal, rigid, sickle shape. Aplastic
anemia ♣ destruction of red bone marrow . ♣ caused by toxins,gamma radiation. Normochromic,
normocytic anemia (normal MCHC, normal MCV).These include: anemias of chronic disease
hemolytic anemias (those characterized by accelerated destruction of rbc's) anemia of acute
hemorrhage aplastic anemias (those characterized by disappearance of rbc precursors from the
marrow) Hypochromic, microcytic anemia (low MCHC, low MCV).These include: iron deficiency
anemia thalassemias anemia of chronic diseases Normochromic, macrocytic anemia (normal
MCHC, high MCV).These include: vitamin B12 deficiency folate deficiency

RISK FACTORS Poor socio economic class Multiparity Teenage pregnancy Menstural problem

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