LEARNING JOURNAL
LEARNING OBJECTIVES ACTIVITIES/PROCEDURES
PERFORMED
ANEMIA IN CHILDREN CBC (complete blood
count)
To identify the sign and - A complete blood count
symptoms test measures several
components and features
To know the types of of your blood, including:
Red blood cells, which
anemia
carry oxygen.
Learn how to diagnose
Hemoglobin and
anemia hematocrit
- hematocrit is evaluated
using a centrifuge, which
is a machine that spins at a
high rate to cause the
contents of your blood to
separate.
Total iron binding
capacity
- A TIBC test may be
ordered along with a
serum iron test, which
measures the amount
of iron in your blood.
Together these tests can
help your healthcare
provider determine
whether there's an
abnormal amount
of iron in your blood.
LEARNING FEEDBACK NURSING RESPOSIBILITIES PROBLEMS
ENCOUNTERED
-Anemia is a condition Monitor hemoglobin,  Fatigue
in which you lack hematocrit, RBC count,
enough healthy red and reticulocyte counts.  Weakness
blood cells to carry
adequate oxygen to Monitor vital sign  Pale or yellowish
your body's tissues.
Having anemia can skin
Take complete blood
make you feel tired and
count  Irregular
weak.
heartbeats
- Iron deficiency Monitor platelet
anemia. This most  Shortness of
common type of anemia
breath
is caused by a shortage
of iron in your body.
 Dizziness or
- Hemoglobin enables lightheadedness
red blood cells to carry
oxygen from your lungs  Chest pain
to all parts of your body
and to carry carbon  Cold hands and
dioxide from other parts feet
of the body to your
lungs to be exhaled.  Headaches
Causes and different
types of anemia
Iron deficiency anemia
Vitamin deficiency
 The tests involve taking a
small sample of blood.
Peripheral Smear
- The blood smear is
examined for the number
and kinds of cells that are
present and other
morphologic
abnormalities.
LEARNING OBJECTIVES ACTIVITIES/PROCEDURES
PERFORMED
IRON DEFICIENCY Iron-deficiency anemia
ANEMIA - diagnosed by
blood tests that should
include a complete blood
To determine the
diagnosis count (CBC).
Additional tests may be
ordered to evaluate the
To determine the
levels of serum
management
ferritin, iron, total iron-
binding capacity, and/or
To know the causes of transferrin.
iron deficiency anemia
To know the procedure Red blood cell size and
color. With iron
deficiency anemia, red
blood cells are smaller and
Anemia
Anemia of inflammation
Aplastic anemia.
Anemias associated
with bone marrow
disease
.
Hemolytic anemias.
Sickle cell anemia.
LEARNING FEEDBACK NURSING RESPOSIBILITIES PROBLEMS
ENCOUNTERED
Iron-deficiency Advice the mother of the behavioural
anemia is not having patient not to give cow’s problems.
enough iron in the milk to their baby.
blood. Iron is needed for 
hemoglobin. Breastfed Educate the family about repeat
only infants should be the food that rich of iron infections.
given iron beginning at
such as green leafy  loss of
4 months of age. When
infants are 12 months
vegetable. appetite.
old, they should be 
screened for iron- Advice the mother to
breast fed their baby  lethargy.
deficiency anemia.

Tell to the mother that
 breathlessness
Cow's milk does not
provide enough: Vitamin
.
E. Iron. 

paler in color than normal.
Hematocrit. This is the
percentage of your blood
volume made up by red
blood cells. Normal levels
are generally between 35.5
and 44.9 percent for adult
women and 38.3 to 48.6
percent for adult men.
These values may change
depending on your age.
Educate the mother by  increased
Take iron tablets on an sweating.
empty stomach.

Don't take iron with  strange 'food'
antacids. cravings (pica) like
eating dirt.
Take iron tablets with
vitamin C. 
 failure to grow
at the expected rate.

Hemoglobin. Lower than
normal hemoglobin levels
indicate anemia. The
normal hemoglobin range
is generally defined as
13.2 to 16.6 grams (g) of
hemoglobin per deciliter
(dL) of blood for men and
11.6 to 15. g/dL for
women.

Ferritin. This protein
helps store iron in your
body, and a low level of
ferritin usually indicates a
low level of stored iron.