Anemia Flashcards

1
Q

How is anemia defined in males?

A

Hemoglobin <13.6 or hematocrit <40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How is anemia defined in females?

A

Hemoglobin <11.9 or hematocrit <35%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which MCV describes microcytic?

A

<80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which MCV described macrocytic?

A

> 100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does a low retic count mean in anemia?

A

Impaired RBC production (inflammation, renal disease, B12 deficiency)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does a high retic count mean in anemia?

A

Acute blood loss or hemolysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What causes macrocytic anemia?

A

B12 or folate deficiency (blood cells do not mature and condense)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does a high MMA indicate?

A

B12 deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does a high homocysteine indicate?

A

B12 or folate deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does B12 deficiency present like?

A
  • Cognitive impairment
  • Peripheral neuropathy
  • Gait abnormalities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What causes microcytic anemia?

A
  • Iron deficiency*
  • Sickle cell
  • Thalassemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What additional labs should we look at when working up microcytic anemia?

A
  • Ferritin*
  • Transferrin saturation (TSAT) <16%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How do we treat iron deficiency anemia?

A

100-200 mg oral elemental iron without food

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What can enhance absorption of oral iron?

A

Vitamin C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When do we use parenteral iron?

A
  • CKD
  • Hemodialysis
  • Unable to tolerate oral or failed
  • Patient refused blood transfusions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which IV iron requires a testing dose?

A

Iron dextran complex (reaction risk)

17
Q

What causes normocytic anemia?

A

EPO deficiency (CKD)

17
Q

Which IV iron should be avoided in pregnancy and babies?

A

Ferrlecit

18
Q

When do we give iron therapy in CKD?

A

TSAT <30%
Ferritin <500

19
Q

What are the BBW of ESAs?

A

Increased risk of death, stroke, MI, VTE

20
Q

When do we initiate ESAs?

A

Hgb < 10