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    Assessment: Hemochromatosis (Iron Overload)

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    Julia
    Hemochromatosis is an iron overload condition that can cause joint pain, fatigue, liver damage, heart problems, and other issues. Patients may report joint pain, abdominal pain and fatigue. Examinations may reveal signs of liver or heart damage. Diagnostic tests show high iron levels in the blood and liver. Treatment goals are to reduce serum ferritin levels and joint pain through iron chelation medications, dietary changes to avoid iron-rich foods, and monitoring of symptoms and iron levels.

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    Assessment: Hemochromatosis (Iron Overload)

    Uploaded by

    Julia
    53 views3 pages
    Hemochromatosis is an iron overload condition that can cause joint pain, fatigue, liver damage, heart problems, and other issues. Patients may report joint pain, abdominal pain and fatigue. Examinations may reveal signs of liver or heart damage. Diagnostic tests show high iron levels in the blood and liver. Treatment goals are to reduce serum ferritin levels and joint pain through iron chelation medications, dietary changes to avoid iron-rich foods, and monitoring of symptoms and iron levels.

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    Hemochromatosis

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    Hemochromatosis is an iron overload condition that can cause joint pain, fatigue, liver damage, heart problems, and other issues. Patients may report joint pain, abdominal pain and fatigue. Examinations may reveal signs of liver or heart damage. Diagnostic tests show high iron levels in the blood and liver. Treatment goals are to reduce serum ferritin levels and joint pain through iron chelation medications, dietary changes to avoid iron-rich foods, and monitoring of symptoms and iron levels.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    53 views3 pages

    Assessment: Hemochromatosis (Iron Overload)

    Uploaded by

    Julia
    Hemochromatosis is an iron overload condition that can cause joint pain, fatigue, liver damage, heart problems, and other issues. Patients may report joint pain, abdominal pain and fatigue. Examinations may reveal signs of liver or heart damage. Diagnostic tests show high iron levels in the blood and liver. Treatment goals are to reduce serum ferritin levels and joint pain through iron chelation medications, dietary changes to avoid iron-rich foods, and monitoring of symptoms and iron levels.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Hemochromatosis (Iron Overload)

    Assessment Patient Image: Include an image that demonstrates the patient’s


    expected physical appearance

    Subjective: what symptoms will the patient report? Some patients


    who have hereditary hemochromatosis may not have symptoms.
    ➢ Joint Pain
    ➢ Abdominal pain
    ➢ Fatigue
    ➢ Weakness
    ➢ Impotence

    Objective: what signs will you expect to see? What assessments


    will you do? What diagnostic tests will you anticipate? What are
    the expected results of those tests?

    ➢ In the heart: arrhythmia and heart failure


    ➢ In the liver: cirrhosis, enlarged liver, liver cancer, liver
    failure
    ➢ Diabetes
    ➢ Assessment:
    - Family history of hemochromatosis
    - Skin assessment to look for bronze colored skin
    - Medical history for any complications
    ➢ Diagnostic test:
    - Total iron-binding capacity will be high (reflects
    amount of transferrin, a protein that binds with iron
    and transports it for storage)
    - liver function test abnormal
    - serum ferritin will be high (measures amount of
    iron stored in liver)
    - Genetic testing

    Goals ● Patient will reach a serum ferritin level between 50 and 100
    ng/mL.
    ● Patient will avoid foods rich in iron such as red meat,
    vitamin C, and alcohol.
    ● Patient will report joint pain no higher than a 2.
    Interventions ● Iron chelating agents such as Deferoxamine, Deferasirox,
    (medications) and Deferiprone.

    ● Iron accumulation can be reduced by dietary changes, such


    as avoiding vitamin C and iron supplements, uncooked
    seafood, and iron-rich foods.

    Rationale (what is the ● Deferoxamine, which chelates and removes accumulated


    reason for the iron via the kidneys, can be given IV or subcutaneously.
    intervention?)
    ● Deferasirox and deferiprone are oral agents that chelate
    iron. Chelating agents form a complex with iron and
    promote its excretion from the body.
    Evaluation ● Patient is able to return to serum iron concentrations to a
    normal level (50-150 mcg/100mL) keep iron serum
    concentrations at a manageable level.
    ● Check patient’s using pain scale, and patient states of joint
    pain no higher than 2.
    ● The patient reports understanding of changing their diet to
    avoid foods rich in iron.

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