Anaemia 2 Flashcards
How can one have anaemia?
- RBC are normal but blood loss resulting in decreased haemoglobin
- Abnormal RBCs (hereditary disease or autoimmune)
what does MCV mean?
Mean cell/corpuscular volume
What is microcytic anaemia?
Smaller RBC than normal
What is macrocytic anemia?
Larger RBC than normal
What is normocytic anemia?
Normal RBC size but reduced haem in blood
What is a Hypochromic RBC?
RBC under a microscope
- Paler, Hypo (less) Chromic (colour) due to less haemoglobin in rbc
What can macrocytosis in a RBC indicate?
That the RBC hasnt fully matured yet
What is a reticulocyte?
A premature RBC released in circulation (if needed) which contains enough haemoglobin to function
What are clinical signs and symptoms of anaemia?
Signs:
- Pale
- Tachycardia (increased HR trying to counter reduced oxygen in blood)
Symptoms:
- Tired/weak
- Dizzy
- Shortness of breath
- Palpitations (due to increased HR)
How can you investigate anaemia?
- Full blood count
If GI blood loss
- endoscopy
- Check renal function
- LAST RESORT*
- bone marrow exam (invasive)
How can anaemia be treated?
- Stop any bleeding if present
- Replace the haematinics
what is a haematinic?
Nutrients needed to produce a RBC