anemia Flashcards
a group inherited disorders
that lead to a decrease synthesis
of the alpha or beta chains of
hemoglobin.
The RBC are malformed and
contain less hemoglobin.
Common among people of
Mediterranean descent
Thalassemias
Anemias due to deficient red blood cell production include many nutritional
conditions including:
o Iron deficient anemia
o Megaloblastic anemias
o Aplastic anemias
Iron deficient anemia is the
result of a
dietary deficiency or
loss of iron. In women, menstruation can
lead to a 1.5 mg per day loss of
iron, making this very common
in this group.
Megaloblastic anemias are
caused by an impaired
DNA synthesis that results
in enlarged red cells due
to impaired maturation
and division. The two most common
causes are Vitamin B12 or
a folic acid deficiency.
a disorder
that results in the reduction of all three
of the hematopoietic blood lines.
Signs and symptoms include weakness,
fatigability and pallor due to anemia.
Petechiae and ecchymoses due to
decreased platelets and increase
incidence of infection.
Aplastic anemias
Secreted when oxygen in peripheral tissues is low (hypoxia)
Due to disease or high altitude
Erythropoietin (EPO
John recently moved to the Rocky Mountains. His house is at an
altitude of 12,000 feet. What type of changes would occur in his blood
profile?
The low oxygen levels would stimulate the secretion of erythropoietin.
This would lead to the stimulation of erythroblastic activity and RBC
formation
Surface Antigen
Are cell surface proteins that identify cells to immune system
Normal cells are ignored and foreign cells attacked
How are blood types determined?
Are genetically determined
By presence or absence of RBC surface antigens A, B, Rh
Antigens on surface of RBCs
Screened by immune system
Plasma antibodies attack and agglutinate (clump) foreign antigens
Agglutinogens
Blood Plasma Antibodies
Type A
Type B antibodies
Blood Plasma Antibodies
Type B
Type a antibodies
Type O
Both A and B antibodies
Type AB
Neither A nor B antibodies
The Rh Factor
Also called D antigen
Either Rh positive (Rh
) or Rh negative (Rh)
Only sensitized Rh blood has anti-Rh antibodies