NRS 410V All Assignments NRS 410V All Assignments | Page 8

levels of energy and enthusiasm. These symptoms seem worse during her
menses. Today, while playing in a golf tournament at a high, mountainous course,
she became light-headed and was taken by her golfing partner to the emergency
clinic. The attending physicians notes indicated a temperature of 98 degrees F, an
elevated heart rate and respiratory rate, and low blood pressure. Ms. A states,
Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take
1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation. During the
summer months, while playing golf, she also takes aspirin to avoid stiffness in my
joints.
Laboratory values are as follows: Hemoglobin = 8 g/dl Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm RBC smear showed microcytic and hypochromic
cells Reticulocyte count = 1.5% Other laboratory values were within normal limits.
Question
Considering the circumstances and the preliminary workup, what type of anemia
does Ms. A most likely have? In an essay of 500-750 words, explain your answer
and include rationale.
NRS 410V Case Study 1 Module 3
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