Ms. A. is a young healthy 26-year-old white female that was taken to the ER by her golfing partner because she had a near syncope episode while playing golf.

Subjective Data

-Ms. A. felt light-headed during playing golf
Intensified SOB decreased level of vitality and excitement.
-Ms. A complains of heavy menstrual cycles since she started her period at age 10-12
-Takes 1,000 mg of aspirin every 3 to 4 hours for 6 days throughout her periods especially in the summer,
-States that she takes aspirin to prevent “stiffness in my joints.”

Objective Data:

-Fever of 98 F, an increased HR and RR, and low blood pressure, which are signs of low oxygen saturation in the circulating cells.
Laboratory blood results show the following abnormal values: hemoglobin = 8 g/dl when standard values in females are 12-17g/dl, erythrocyte = 3.1 x 10/mm normal value is 3,5-5.5x10/mm, hematocrit = 32% normal when is between 36%-46%, reticulocyte count = 1.5% normal values are between 0.5-1.5%, and RBC smear abnormal.
Given laboratory results for hemoglobin, reticulocyte hematocrit and erythrocyte count are bellow the normal value in a healthy individual and are the general presentation of anemic state. A client with anemia has tissue hypoxia because of the decreased oxygen-carrying volume of the blood. In contrast, a patient with polycythemia has increased blood viscosity and volume attributable to the increase in the number of RBCs (Banasik 269)
Ms. A case explanation shows that she has iron-deficiency anemia.
Iron deficiency anemia (IDA), it’s a frequent seen condition, in which there is a decline in iron concentration in blood and hemoglobin Levels. IDA is triggered by insufficient consumption of iron, insufficient storing of iron, extreme iron loss, or some mixture of these situations. The red blood cells (RBCs), that develop whitish (hypochromic) and tiny