Case study

 

You see a pleasant, 35-year-old, Asian female in the clinic who complains of fatigue. As part of your assessment, you order a complete blood count, which reveals microcytic hypochromic anemia. Follow-on labs reveal iron deficiency (specific lab results are below).

Pt’s results

Normal Range

Units

WBC

9.9

3.4 - 10.8

x10E3/uL

RBC

2.7

3.77 - 5.28

x10E6/uL

Hemoglobin

9.0

11.1 - 15.9

g/dL

Hematocrit

29.0

34.0 - 46.6

%

MCV

63

79 - 97

FL

MCH

25

26.6 - 33.0

Pg

MCHC

30

31.5 - 35.7

g/dL

RDW

20

12.3 - 15.4

%

Platelets

220

150 - 379

X10E3/uL

Iron

50

60-170

mcg/dL

Ferritin

7

12-150

ng/mL

What is your prescribed treatment plan (include specific dosage, frequency and duration)?  Why did you choose the specific treatment plan?  In your answer, please describe, briefly, the pharmacodynamics (1 point) and pharmacokinetics (1 point) of your treatment choice and how they influenced your choice. What are some of the medication interactions (1 point) and medical contraindications (1 point) to your treatment plan?

Document the education you would provide for this patient, specific to the prescribed treatment. Please include pertinent information (2 points) and common potential adverse effects (2 points).