Rosalejos, Mary Jane J.

N2C/ C10 OB4 Patient

Article from: Shih, T.C., et al. (2016). Hiatal hernia: A rare cause of iron-deficiency anemia in children. Retrieved February 02, 2020 from https://www.pediatr-
neonatol.com/article/S1875-9572(16)30370-9/pdf
Rosalejos, Mary Jane J. N2C/ C10 OB4 Patient
Assessment Diagnosis Scientific Rationale Planning Intervention and Rationale Evaluation
Rosalejos, Mary Jane J. N2C/ C10 OB4 Patient
Sujective Cues:
 History of IDA
 Intake of oral
iron and
ranitidine for 6
months.
Objective Cues:
 A 6-year-old boy
presented with
pallor, excess
fatigue,
abdominal
fullness, and
early satiety
 Physical Exam
 Tachycardi
a
 Extremely
pale
conjunctiva
s
 Body weight and
height were
within the 50-
85th growth
percentiles
 Laboratory
results:
 Showed
severe
microcytic
anemia
 RBC: 4.62
x 10^6/uL
(normal
range, 3.9-
5.3
10^6/uL)
 Hemoglo-
bin (Hgb),
4.4 g/dL
(normal
range,
11.5-14.5
g/dL)
Rosalejos, Mary Jane J. N2C/ C10 OB4 Patient
 Mean cell
volume,
58.4 fL (normal
range, 76e90 fL)

References:
- Nurse’s Pocket Guide (14th Edition) by Doenges, et al.
- Nursing Diagnosis: Application to Clinical Practice (13th edition) by Carpenito-Moyet