NURSING CARE FOR

ANEMIC PATIENTS

Group 1

Annisa’ Istiqomah Irvan Nova D

Arvian Putra Riyadi Merlyn Rapikasari
Berliana Sukmawati Salma Deviyana
Eka Nur Rani Titin Purnama Sari
Ikha Yulia W
 DEFINITION
Anaemia is a condition in which the number
of red blood cells or their oxygen-carrying capacity
is insufficient to meet physiologic needs, which
vary by age, sex, altitude, smoking, and pregnancy
status. (WHO, 2017).
 TYPES OF ANAEMIA
There are several types and classifications of
anaemia. The occurrence of anaemia is due to the
various red cell defects such as production defect
(aplastic anaemia), maturation defect
(megaloblastic anaemia), defects in haemoglobin
synthesis (iron deficiency anaemia), genetic defects
of haemoglobin maturation (thalassaemia) or due
to the synthesis of abnormal haemoglobin
(haemoglobinopathies, sickle cell anaemia and
thalassaemia) and physical loss of red cells
(haemolytic anaemias) (Mukherjee and Ghosh,
2012).
 Symptoms Treatment

1. Easy fatigue and loss

of energy 1. Iron deficiency
2. Unusually rapid heart anemia
beat, particularly with 2. Vitamin deficiency
exercise
anemias
3. Shortness of breath
and headache, 3. Thalassemia
particularly with
exercise 4. Anemia of chronic
4. Difficulty disease
concentrating 5. Aplastic anemia
5. Dizziness
6. Pale skin 6. Sickle cell anemia
7. Leg cramps 7. Hemolytic anemias
8. Insomnia
 EXAMPLE PROBLEM

Ika wahyunigsih is a 76 year old

widow who lives alone. she said experiences
weight loss of 20 kg (9 kg). She states that
she sometimes has heart palpitations and
always feelsweak. Physical assessment
shows: T 98.8°F (37.1°C), P 110, R 22, BP
90/52. Skin warm, pale, and dry.
Assessment
Mrs. Ika nursing history includes a 20 lb (9
kg) weight loss since her husband died 8
months ago. She states that she sometimes has
heart palpitations and always feelsweak. Physical
assessment shows: T 98.8°F (37.1°C), P 110, R 22,
BP 90/52. Skin warm, pale, and dry. Diagnostic
tests indicate folic acid deficiency anemia.

Diagnoses
1. Activity intolerance related to supply
imbalances and oxygen demand
2. Imbalanced nutrition: Less than body
requirements
 Intervention
NO DIAGNOSIS NOC NIC
1. Activity After nursing care Therapeutic activity:
intolerance can be shown to 1. Assess the patient's
related to tolerate activities ability to carry out
supply with the expected activities
imbalances results: 2. Explain to patients
and oxygen 1. Clients are the benefits of
demand capable of gradual activity
minimal activity 3. Evaluate and
2. Ability to motivate the
increase activity patient's desire to
gradually increase activity
3. No complaints of 4. Encourage clients to
shortness of stop activities if
breath and palpitations, chest
fatigue during pain, shortness of
and after the breath, and
activity weakness / dizziness.
NO DIAGNOSIS NOC NIC
2. Imbalanced After nursing the Nutrition
nutrition: Less patient can show Management
than body adequate 1. Assess for food
requirements nutritional allergies.
status with the 2. Assess the food the
following criteria: patient likes.
1. Stable weight 3. Monitor the amount
2. Adequate of nutrition and
energy level calorie content.
3. Adequate 4. Provide information
nutrition to patients about
intake nutritional needs.
5. Collaboration with
nutritionists for
providing TKTP
nutrition to patients