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25 Cards in this Set

  • Front
  • Back

anemia

decrease in RBC production


increase in RBC destruction or loss

anemia causes decrease in O2 carrying capacity which leads to ...

tissue hypoxia

common meds associated w/anemia

NSAIDS, corticosteroids, TB meds, seizure meds, sulfa

3 catagories of anemia

blood loss (acute or chronic)


nutritional


hemolytic

general s&sx of anemia

*fatigue, sob, palpitations, tarry stool, headache, malaise

severe anemia lab values

Hgb <6 (experience sx at rest)

moderate anemia lab values

Hgb 6-10

mild anemia lab value

10-12 (higher in men 13.5)

most common anemia

nutritional-decreased erythrocyte production

hemolytic anemia

increased erythrocyte production, transfusion reaction

iron deficiancy causes

low dietary intake, malabsorption (chron's)

iron deficiency tx

treat underlying issue if malabsorption, increase iron intake

megaloblastic anemia

RBC's lg and abnormal


RBC's easily destroyed


usual cause is B12 & folate deficiancy

B12 deficiency/pernicious anemia causes

*malabsorption of B12 & other nutrients*


gastrectomy, resection of ileum, crohns

chronic disease to cause anemia

chronic endocrine, tumors, inflammation


ETOH


liver and renal disease

hemolytic anemia- 2 types

intrinsic-within RBC


extrinsic-outside of RBC

intrinsic hemolytic anemia

sickle cell

extrinsic hemolytic anemia

acquired hemolytic anemia (transfusion rxn)

hemorrhagic anemia

acute bld loss-shock, trauma


chronic bld loss-gastritis, mentration, hemorrhoids

hemorrhagic anemia tx

albumin, NS, PRBC's, LR


control bleeding

Sickle Cell Anemia

defect in beta chain- Hgb S


Hgb S sensitive to O2 level-low causes crisis=clumping


RBC life when Hgb S level is HIGH

only 12-15 days

triggers for sickle cell crisis

extreme heat or cold


hypoxia


dehydration


infection


pregnancy


ETOH

acquired hemolytic anemia

factors OUTSIDE of the RBC


severe burns, valves, dialysis, radiation, auto-immune disorders

aplastic anemia

all levels are low


tx is to give bld


caused by radiation, toxic agents, bone marrow depression