Anemia in dialysis clients results from blood loss during dialysis and decreased blood cell survival and the inability of the kidney to produce erythropoietin
In addition to administering recombinant human erythropoietin (EPO), the nurse should encourage the client to eat foods rich in: 1. Calcium.
2. Potassium.
3. Iron.
4. Magnesium.
3
Rationale: Sufficient iron stores are needed to prevent anemia. Treatment with EPO and adequate oral or intravenous iron supplementation has been successful in helping clients achieve target hemoglobin levels. Dietary sources of iron should also be included in the diet. Adequate supplies of calcium, potassium, and magnesium are essential is maintaining health, but have no role in the treatment of anemia.
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