Ques/2 P

Instructions: Response must be at least 310 words written in current APA format with at least two academic references cite. References must be within the last five years. Response must extend, correct/refute, or add additional nuance.

 Some of the factors that put her at risk for anemia are: heavy periods, she also loosed blood during her periods for 6 days. Also, her 4 deliveries in the last 4 years can contribute to this. She also suffers from ulcers. All these factors contribute to blood loss and malabsorption of iron from her intake, which can contribute to iron deficiency anemia. Also, another contributing factors, could be that she has been taking Ibuprofen for a long time, which can cause anemia. 
Some reason for her constipation could be that she suffers from ulcers. She is also on diuretics, which decrease her blood volume and can cause her to dehydrate if not consume adequate fluids. Her heavy menstrual periods can also be a cause of dehydration. 
Vitamin B12 and folic acid are needed for the synthesis of RBC in erythropoiesis. 
Erythroblasts (immature erythrocyte), in order to proliferate and differentiate, they require folate and vitamin B12. A deficiency of these components, inhibits purine and thymidylate syntheses, which impairs DNA synthesis, and causes erythroblast apoptosis, resulting in anemia from ineffective erythropoiesis. Some of the cell abnormalities that this can cause are: they become microcytic, and with low hemoglobin.  
J.D has fatigue, weakness, and low energy levels
Some signs that may be present with this type of anemia are: decreased levels of hemoglobin and hematocrit. Also, tachycardia, palpitations, pallor, excessive bleeding. She can also be experiencing low serum iron levels. (Shubham, Anukiruthika, Dutta, Kashyap, Moses, & Anandharamakrishnan, 2020)
One of the more common treatment is to take oral iron supplements to replenish iron stores within the body; she can also obtain iron through an iron rich diet. She would be recommended to take food that helps with the absorption of iron, like food rich in vitamin C. And in more extreme cases, iron intravenous transfusions.  
Modifiable risks factors: diabetes, hypertension, obesity, stress, hypercholesterolemia, sedentarism, smoking.
Non-modifiable risk factors: ethnicity, age, gender, family history.   
It would be expected an ST elevation, and an inverted T wave. In the case the patient present with pain that spread upward into his neck and lower jaw, unrelieved by aspirin, and 3 SL NTG tablets.  (Thygesen, Alpert, Jaffe, Chaitman, Bax, Morrow, & Windecker, 2019)
The most specific test that I would choose is the Troponin T test, because this test is specific to the cardiac muscle, and not to other muscle in the body. 
Fever is a very common symptom after a Myocardial Infarction, it is because the MI is caused by a decrease in blood flow and oxygen to some areas of the heart, and these areas become necrotic and inflammatory process occurs, which is going to lead to an increase in the body’s temperature. 
In the process of an MI, the blood supply to an area of the heart is stopped, this is going to cause the myocardial tissue to go into anaerobic respiration, which is going to cause the release of lactic acid, which is going to irritate the nerves ending causing the patient to experience pain.

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