[NPInfo] Iron Deficiency Anemia

[Jeffrey Hazzard]

   I haven't read about the ice pica, but I sat here wondering if cooling the body helps the hgb-oxygenation disassociation curve.  (Kidding).
 
         Jeff, Tampa (Fay missed us, now headed to our Jax house).

--- On Tue, 8/19/08, Kimberly Coleman <iblong2c at bellsouth.net> wrote:

From: Kimberly Coleman <iblong2c at bellsouth.net>
Subject: [NPInfo] Iron Deficiency Anemia
To: "NP Info" <npinfo at nurse.net>
Date: Tuesday, August 19, 2008, 9:55 PM

I was curious if anyone could tell me WHY? patients with iron deficiency anemia
crave ice.  I know it's a form of PICA and can only find general
information.  A pt. with low H&H (10, 30), low B12 (207), low ferritin (7),
norm. TSH.  The MD didn't want to do a TIBC (it wasn't needed right
now).  There is no hx. of abn. bleeding, had TAH >10yrs. C/O "eating a
lot of ice", extreme fatigue/weakness and "a lot of joint pain and
feels like muscles are drawing and stumbling".  Going to be scheduling
upper/lower scopes.  Any suggestions on the joint pain and stumbling, and what
does ice have to do with it?  As I said, I have heard of it, know it exists, but
don't know exactly why.  Thanks.  KC
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