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12 Cards in this Set
- Front
- Back
protein used to transport iron
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transferrin
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the form in which iron is stored in macrophages of reticuloendothelail system
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ferritin or hemosiderin
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mechanism of iron absorption
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absorbed in the duodenum, delivered to marrow by transferrin and stored as ferritin or hemosiderin in macrophages of the reticuloendothelial system
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used in iron-deficient anemia patients with malabsorbtion syndromes or pts intolerant to oral iron preparations. Reticuloendothelial cells phagocytize the preparation splitting the iron from the drug.
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iron dextran (parenteral iron formulation)
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used in iron-deficiency pts w/ malabsorption syndroomes or pts intolerant to oral preparations. exchange mechanisms transfer the iron to transferrin. Approved for iron deficiency anemia in chronic hemodialysis pts who are recieving suuplemental EPO therepy.
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iron sucrose (venofer)---parenteral iron form
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used in chronic renal disease in pts w/ iron-deficiency anemia
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Ferrlecit (parenteral iron form)
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`In iron deficiency pts with malabsorption syndromes or pts intolerant to oral iron preparations this is given containing 50 mg/ml iron parenterally by multiple slow injections to correct the deficiency.
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ferric hydroxide and dextran
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treatment of iron toxicity (presents w/ bloody vomiting, diarrhea, massive fluid and blood loss into GI tract)
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proper ventilation and administration of deferoxamine, a chelating agent that chelates iron and excreted renally w/ orange or pink-red urine (deferoxamine-iron complex). Stop therapy when the color of the urine turns normal
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mechanism of B12 absorption
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parietal cell intrinsic factor in the distal ileum complexes w/ B12 for absorption (intrinsic factro-dependant route) and B12 is absobed in the stomach (intrinsic factor indepandant route)
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A decrease in the production of intrisic factor results in (acquired/congential) pernicious anemia while dysfunction of the intrinsic factor causes (aquired/congential) pernicious anemia
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decrease in producton=acquired
dysfunction=congenital |
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transport protein of B12
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transcoalamin II
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treatment of megaloblastic anemia
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combo of folate and cyanocobalamin
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