Hematological Case Study

Sarah is in today with a chief complaint of feelings of fatigue, pallor, dyspnea on exertion, and palpitations. Her laboratory report indicates that her hematocrit, hemoglobin, and reticulocyte counts are low; that her MCV is high; and that her MCH and MCHC are normal. Her diagnosis is pernicious anemia.

Answer the following questions regarding Sarah’s anemia and provide the pathophysiology associated with the body’s response to this disease process.

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1. What are the laboratory tests to be ordered in patients suspected of anemia?

2. What are the clinical manifestations noted in a patient with pernicious anemia?

3. What nonpharmacological therapies are associated with the treatment of pernicious anemia?

4. What the lab findings indicative iron deficiency anemia?

5. Please share possible complications of untreated pernicious anemia.

6. What is the purpose of the Schilling test?

– Two pages minimum

-Provide references.

Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions

Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting?

Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?

Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ?