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19 Cards in this Set
- Front
- Back
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Microcytic anemia-history
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asymptomatic
dyspnea on exertion fatigue, dizziness, HA, palpitations, sleep disturbances, nausea, irritability angina and CHF tachycardia, wide pulse pressure, pale conjuctiva if Hct around 20, pallor at Hct 15 |
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Microcytic lab workup
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Hemoblogin elec.
Serum ferritin (r/o iron def.) ZPP (<70 nl) Retic count (nl<2%) serum iron serum transferrin TIBC |
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Normocytic anemia -history
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same as microcytic
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Normocytic anemia lab work up
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SErum ferritin (most sensitive for iron def.)
ZPP-high means heme percursors not being linked to iron serum transferrin TIBC (high=iron def.) |
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Macrocytic folate defiency
history |
dietary-overcooking
alchoholism, malabsorption, drugs symptoms same as anemia |
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Macrocytic Vitamin B12 defiency-history
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*very rare
servere gastric depletion vegan |
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Macrocytic Vitamin B12 defiency
s/s |
fatigue, weaknes, burning tongue, anorexia, diarrhea, wt loss, ataxia, peripheral neurpathy, dementia
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Foods that increase iron aborption
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meat, vit C, empty stomaach
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Iron rich foods
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red meat, poultry, fish
dark green veges, almonds, dried apricots, beans, fortified grains, broccoli, molasses, prune juice, raisins, egg yolks nettles, |
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Alpha thalasemia minor trait
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no iron absorption
test FOB refer to genetic counseling prenatal diagnosis not recommended unless parents are Asians and then bb at risk for 4 gene deletions and stillbirth |
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Beta thalasemia
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Screen FOB with CBC and Hgb electrop
monitor IUGR if both parents carriers |
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Sickle cell anemia
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q trimester urine c&s
if FOB carrier, offer prenatal diagnosis |
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Alpha thal minor trait
diagnosis |
dianosis of exclusion
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Beta thalessia diagnosis
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Hgb A2>3.5%
MCV<80 MCH<26 Hgb>2% (only in 50% of cases) maybe mild anemia |
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Sickle cell diagnosis
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SA>50% Hgb A the rest S
SS>80% HGB S, the rest Hgb F |
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Du antigen
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weak Du positive,
not at risk for alloimmunization therefore no anti-D imunoprophylaxix |
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Management for Rh neg client
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antibody sreceen,
Rh cord blood at delivery If + , give Rhogam 300 for regular mini Rhogam (50) for aborption, ectopic |
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Management for thrombocytopenia
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avoid aspirin, NSAIDS
significant risk of bleeding if platelets<50,000 |
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Work-up for thrombocytopenia
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hx of bleeding?
don't order anti-platlet antibody test |
