An infant from parents of Mediterranean decent has been diagnosed with a severe form of ?-thalassemia anemia. The nurse caring for this infant knows that the infant will likely receive which of the following medical treatments?
A) Transfusion therapy
B) Iron sulfate supplements
C) Stem cell transplant
D) Warfarin, a blood thinner to decrease clot formation
Ans: A
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Persons who are homozygous for the trait (thalassemia major) have severe, transfusion-dependent anemia that is evident at 6 to 9 months of age when the hemoglobin switches from HbF to HbA. If transfusion therapy is not started early in life, severe growth retardation occurs in children with the disorder. Iron and blood thinners will not be therapeutic for this client. Stem cell transplantation is a potential cure for low-risk clients, particularly in younger persons with no complications of the disease or its treatment, and has excellent results.
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