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Case Study A 65-year-old woman presents to the office with complaints of excessive fatigue and shortness of breath after activity, which is abnormal for her. The woman has a history of congestive heart failure with decreased kidney function within the last year. The woman appears unusually tired and slightly pale. Additional history and examination rules out worsening heart failure, acute illness, and worsening kidney disease. The complete blood count (CBC) results indicate that hemoglobin is 9.5 g/dL, which is a new finding, and the hematocrit is 29%. Previous hemoglobin levels have been 11 to 13g/dL. The patient’s vital signs are temperature 98.7°F, heart rate 92 bpm, respirations 28 breaths per minute, and blood pressure 138/72. The practitioner suspects the low hemoglobin level is related to the decline in kidney function and begins to address treatment related to the condition.
Date Posted: 22/02/2021
Category: Health Care
Due Date: 25/02/2021
Instruction
Here are the question below to be answered . Case Questions 1. Which test(s) should be performed to determine whether the anemia is related to 1. Which test(s) should be performed to determine whether the anemia is related to chronic disease or iron deficiency, and what would those results show? 2. Should the practitioner consider a blood transfusion for this patient? Explain your answer. 3. Which medication(s) should be considered for this patient? 4. What considerations should the practitioner include in the care of the patient if an erythropoietin agent is used for treatment? 5. What follow-up should the practitioner recommend for the patient? Please for every answer give a reason why you order what and why and what you trying to find. Please need references year. APA.7
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