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    A 22-year-old lactating female was diagnosed with microcytic anemia based on low hemoglobin (9.5 g/dL) and hematocrit (30%) levels. She follows a lacto-ovo-vegetarian diet and discontinued vitamin/mineral supplementation prescribed by her doctor. The nutrition assessment found her iron intake was inadequate due to her diet, discontinuation of supplements, and lactation. The nutrition intervention plan aims to increase iron intake through foods like dark leafy greens and legumes, resume supplementation, provide education on proper nutrition for lactating women, and normalize hemoglobin and hematocrit levels within 3 months through follow-up calls and testing.

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    A 22-year-old lactating female was diagnosed with microcytic anemia based on low hemoglobin (9.5 g/dL) and hematocrit (30%) levels. She follows a lacto-ovo-vegetarian diet and discontinued vitamin/mineral supplementation prescribed by her doctor. The nutrition assessment found her iron intake was inadequate due to her diet, discontinuation of supplements, and lactation. The nutrition intervention plan aims to increase iron intake through foods like dark leafy greens and legumes, resume supplementation, provide education on proper nutrition for lactating women, and normalize hemoglobin and hematocrit levels within 3 months through follow-up calls and testing.

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    26 views2 pages

    Hematocrit NCP

    Uploaded by

    api-301024560
    A 22-year-old lactating female was diagnosed with microcytic anemia based on low hemoglobin (9.5 g/dL) and hematocrit (30%) levels. She follows a lacto-ovo-vegetarian diet and discontinued vitamin/mineral supplementation prescribed by her doctor. The nutrition assessment found her iron intake was inadequate due to her diet, discontinuation of supplements, and lactation. The nutrition intervention plan aims to increase iron intake through foods like dark leafy greens and legumes, resume supplementation, provide education on proper nutrition for lactating women, and normalize hemoglobin and hematocrit levels within 3 months through follow-up calls and testing.

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    © All Rights Reserved
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    of 2

    Jessilyn Cauble

    March 2, 2015
    Hematocrit NCP

    Nutrition Assessment
    Diagnosis: microcytic anemia
    Age, gender: 22, female
    Dietary intake: PO intake
    Lifestyle habits include following a lacto-ovo-vegetarian diet and discontinued use of
    supplementation prescribed by doctor
    Symptoms: fatigue
    Lactating
    Anthropometric measurements
    o Ht/wt: 54 / 162.6 cm and 108lbs / 49.1kg
    o BMI = 18.6 kg/m2 (normal)
    o IBW = 120lbs/54.5kg, %IBW = 90.0% (mild malnutrition)
    Energy, protein, and fluid needs
    o Range
    Total energy = 1236-2107 kcal/d
    Protein = 51.3-61.1 g/d
    Fluid = 1236-2107 mL/d
    o Basis for estimations (Based on BW of 50.9kg)
    For energy, used Mifflin-St. Jeor formula to determine REE then
    multiplied by activity (1.3) & added injury factor for lactation (500)
    For protein, used non stressed state 0.8-1.0 g PRO/kg
    For fluid needs, used 1mL/kcal (adult) multiplied by estimated caloric
    requirements (kcal)
    Labs/tests
    o Hemoglobin= 9.5g/dL, low (11-16 g/dL)
    o Hematocrit 30%, low (37-47%)
    Nutrition Diagnosis
    Inadequate iron intake R/T inadequate intake in diet, discontinuation of vitamin/mineral
    supplementation, and lactation AEB fatigue, low hemoglobin level 9.5g/dL, and low
    hematocrit level 30%.
    Nutrition Intervention
    1. Meals and snacks
    a. Increase intake of iron rich foods for a lacto-ovo-vegetarian diet (darky leafy
    greens, legumes, lentils) along with vitamin C to increase absorption (bell
    peppers, kiwi, citrus fruit)
    b. Resume taking vitamin/mineral supplementation
    2. Nutrition education
    a. Proper nutrition for lactating women
    Goals
    1. Increase intake of iron rich food immediately
    2. Resume consumption of supplementation immediately
    3. Normalize hemoglobin and hematocrit levels within 3 months
    4. Reach ideal body weight within 2 weeks
    Nutrition Monitoring and Evaluation
    Follow-up phone call within 1 week
    Ask the patient to do 3-day food record and bring it to clinic to reassess consumption of
    iron rich food and vitamin/mineral supplement
    Re-assess weight in 2 weeks

    Jessilyn Cauble

    Re-assess hemoglobin and hematocrit levels

    March 2, 2015

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