Case Study Chapter 30, Introduction to the Hematopoietic and Lymphatic Systems
Case Study, Chapter 30, Introduction to the Hematopoietic and Lymphatic Systems
April Holiday, a 54-year-old female client, is going for her first hemodialysis today. The client is
scheduled to receive hemodialysis three times weekly and is on a fluid restriction and a renal
diet. The client’s vital signs are T, 98° F, BP, 110/70 mm Hg; HR, 100 beats/minute; RR, 22
breaths/minute. The client has no pain but states she feels very fatigued and has constipation.
The nurse notes that the conjunctiva and mucous membranes are pale. The client has a pale
sallow coloration of her skin. The hemoglobin is 8 g/dL and the hematocrit is 24%. The client is
currently taking the following medications to help alleviate anemia: Ferrous sulfate 200 mg po
three times daily, multivitamin with folic acid, B complex one daily, and epoetin alfa (Procrit) 50
units/kg/dose subcutaneously on the days of dialysis. The Procrit medication is available in 4000
units/mL, a single-dose vial. The nurse weighs the client, noting she is 50 kg. The LPN/LVN
needs to provide nursing management for the client’s anemia.
(Learning Objective 10)
Demonstrates an excellent
understanding of all of the
concepts and key points
presented in the text(s) and
Learning Resources. Answer
provides significant detail
(including multiple relevant
examples), evidence from the
readings and other scholarly
sources, and discerning ideas.
a. What dose of Procrit should the nurse provide the client and what are the administration
considerations?
b. Explain the nursing management for the client’s anemia.
