Anemia Flashcards
Iron
Hematinic Agent
- Ferric Iron (Fe3+)
- Ferrous Iron (Fe2+) (Better absorbed, is absorbed in the duodenum)
Ferrous Sulfate
Hematinic Agent
- Highest Source of Elemental Iron
Oral
Ferrous Fumarate
Hematinic Agent
- 2nd Highest Source of Elemental Iron
Oral
Ferrous Gluconate
Hematinic Agent
Oral
Polysaccharide-Iron Complex
Hematinic Agent
Oral
Iron Dextran
Hematinic Agent
IV
Sodium Ferric Gluconate
Hematinic Agent
Iron formulation IV
Iron Sucrose
Hematinic Agent
IV
Folic Acid
- Affects what?
Vitamin B9 (Hematinic Agent)
- Needed for DNA synthesis (Purines, Pyrimidines, Amino Acids)
Lack of B9 affects cells that actively divide
- Bone Marrow Cells are affected which are needed for erythropoiesis (RBC Production)
Cyanocobalamin
- Affects what?
Vitamin B12 (Hematinic Agent)
- Needed for DNA synthesis (Purines, Pyrimidines, Amino Acids)
Lack of B9 affects:
Cells that actively divide
- Bone Marrow Cells are affected which are needed for erythropoiesis (RBC Production)
Abnormal DNA replication
- RBC do not mature properly , produces megaloblasts that not leave the marrow or dysfunctional RBC that do leave the marrow
Nervous System
- Causes inflammation, demyelination, and neuronal cell death
Hydroxocobalamin
Vitamin B12 (Hematinic Agent)
- Needed for DNA synthesis (Purines, Pyrimidines, Amino Acids)
Lack of B9 affects:
Cells that actively divide
- Bone Marrow Cells are affected which are needed for erythropoiesis (RBC Production)
Abnormal DNA replication
- RBC do not mature properly , produces megaloblasts that not leave the marrow or dysfunctional RBC that do leave the marrow
Nervous System
- Causes inflammation, demyelination, and neuronal cell death
Epoetin Alpa
Erythropoietin (Hematopoietic Growth Factor)
- Stimulates production of RBC
IV/SC
Darbepoetin Alpha
Synthetic Erythropoietin (Hematopoietic Growth Factor)
- Stimulates production of RBC
Longer Half Life
Can cause seizures to patients on dialysis
Filgrastim
Granulocyte Colony-Stimulating Factors (Hematopoietic Growth Factor)
G-CSF
- Binds to Myeloid Progenitor Cells (Bone Marrow Cells that make RBC, Granulocytes, etc.)
–> Affects JAK/STAT pathway to stimulate proliferation/differentiation of neutrophils
Lenograstim
Granulocyte Colony-Stimulating Factors (Hematopoietic Growth Factor)
G-CSF
- Binds to Myeloid Progenitor Cells (Bone Marrow Cells that make RBC, Granulocytes, etc.)
–> Affects JAK/STAT pathway to stimulate proliferation/differentiation of neutrophils