Jane’s doctor tells her that her hemoglobin and hematocrit are fine but her iron stores are a little low she recommends that Jane increases her intake of iron-rich foods and suggests she add a glass of OJ when she is eating breakfast cereal. However, she is diabetic and remembers being told that she is supposed to limit sugary foods like juice.   Why did the doctor recommend orange juice with the cereal? Given what you know about diabetes, would you advise Jane to consume the OJ as recommended? Explain Would it be a good idea for Jane to go ahead and take iron supplements at this point? Why or why not?   *Two months later, Jane returns to her doctor complaining of symptoms such as difficulty sleeping, worsening fatigue, cold intolerance, and irritability. Her follow-up blood tests show the following   Lab Test Result Normal Range Hemoglobin 9.2 g/dL 12-15 g/dL Hematocrit 35% 36-44% MCV 70 fl 82-98 fl Transferrin Saturation 210 mg//dL 250-425 mg dL Ferritin 5 ng/ml 18-160 ng/ml     Jane has now been diagnosed with iron deficiency anemia.     What is the difference between iron deficiency and iron deficiency anemia? Be sure to address what forms of iron are depleted

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Jane’s doctor tells her that her hemoglobin and hematocrit are fine but her iron stores are a little low she recommends that Jane increases her intake of iron-rich foods and suggests she add a glass of OJ when she is eating breakfast cereal. However, she is diabetic and remembers being told that she is supposed to limit sugary foods like juice.

 

  1. Why did the doctor recommend orange juice with the cereal?
  2. Given what you know about diabetes, would you advise Jane to consume the OJ as recommended? Explain
  3. Would it be a good idea for Jane to go ahead and take iron supplements at this point? Why or why not?

 

*Two months later, Jane returns to her doctor complaining of symptoms such as difficulty sleeping, worsening fatigue, cold intolerance, and irritability. Her follow-up blood tests show the following

 

Lab Test

Result

Normal Range

Hemoglobin

9.2 g/dL

12-15 g/dL

Hematocrit

35%

36-44%

MCV

70 fl

82-98 fl

Transferrin Saturation

210 mg//dL

250-425 mg dL

Ferritin

5 ng/ml

18-160 ng/ml

 

 

Jane has now been diagnosed with iron deficiency anemia.

 

 

  1. What is the difference between iron deficiency and iron deficiency anemia? Be sure to address what forms of iron are depleted

 

 

 

 

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