Anemia Flashcards

1
Q

What is the problem in anemia?

A

Not enough RBC’s/hgb for oxygen to the cell

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2
Q

Which anemia has an insufficient intake of iron or the inability to utilize iron?

A

Iron deficiency anemia

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3
Q

Which anemia lacks intrinsic factors most likely bc of a vegan diet or from a total/partial gastrectomy?

A

Vitamin B12 Deficiency anemia

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4
Q

Which anemia is from chronic malnourishment and an increase in metabolic needs most likely from alcoholism?

A

Folic acid deficiency anemia

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5
Q

What type of anemia is from a decrease in oxygen carrying capacity in blood cells, a decrease in ability to fight infection, and a decrease in clotting abilities and usually occurs w/ bone marrow failure or exposure to toxins?

A

Aplastic anemia

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6
Q

What type of anemia occurs from RBC’s being tagged on to some antigen that body recognizes as foreign so body destroys RBC sooner than the bone marrow can produce them; usually occurs from mechanical trauma or the immune response?

A

Hemolytic anemia

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7
Q

In iron deficiency anemia hgb, hct and MCV are all?

A

Decreased

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8
Q

In vitamin B12 deficiency anemia hgb and hct are what? and MCV and Schillings test are what?

A

Decreased; increased

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9
Q

In folic acid deficiency anemia hgb, hct, and serum folate are what? and MCV is what?

A

Decreased; increased

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10
Q

In aplastic anemia hgb, hct, RBC, WBC and platelet are all what?

A

Decreased

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11
Q

In hemolytic anemia reticulocytes are what? and MCV and MCHC are what?

A

Increased; normal

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12
Q

Name the anemia w/ these s/s: pallor, fatigue, SOB, brittle hair/nails, irritability, heavy menstruation, cheilosis and pica?

A

Iron deficiency anemia

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13
Q

Name the anemia w/ these s/s: fatigue, pallor, SOB, weakness, mouth sores, swollen tongue and GI symptoms like constipation/diarrhea?

A

Folic acid deficiency anemia

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14
Q

Name the anemia w/ these s/s: pallor, peripheral neuropathies (numbing/tingling of extremities), altered gait/balance and coordination, mood swing, and personality changes?

A

Vitamin B12 deficiency anemia

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15
Q

Name the anemia w/ these s/s: splenomegaly, jaundice, bone deformity/fractures, increase HR/RR, palpations, ventricular hypertrophy, angina and pallor?

A

Hemolytic anemia

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16
Q

Name the anemia w/ these s/s: fatigue, bleeding usually from nose/gums, bruising, SOB w/ exertion, tachycardia, pallor, dizziness, HA and reoccurring infections?

A

Aplastic anemia

17
Q

What 2 anemias have macrolytic (large) RBC’?

A

Vit. B12 deficiency and folic acid deficiency

18
Q

B12 only comes from what?

A

Animal products

19
Q

What is produced by parietal cells of the stomach and is necessary for absorption of B12 later on in the small intestine?

A

Intrinsic factor

20
Q

Alcohol inhibits the absorption of what?

A

Folic acid

21
Q

What is the only cure to aplastic anemia?

A

Bone marrow transplantation

22
Q

When is it necessary to take oral B12 supplements?

A

If individual is vegan

23
Q

If a pt has folic acid deficiency anemia what should their diet consist of?

A

Organ meats, eggs, green leafy veggies

24
Q

What pharmacology is necessary for iron deficiency anemia?

A

Ferrous sulfate, iron dextran or iron sucrose

25
What pharmacology is necessary for vit B12 deficiency anemia?
Cyanocobalamine (B12)
26
What pharmacology is necessary for folic acid deficiency anemia?
Folic acid
27
What pharmacology is necessary for hemolytic anemia?
Steroids, immunosuppressants
28
What pharmacology is necessary for aplastic anemia?
Anti-infective agents, blood products
29
B12 can cause problems w/ what?
Balance
30
What is the major problem w/ ferrous sulfate?
Constipation; maybe change in stool color (green, black) NOT harmful
31
A pt should take ferrous sulfate w/ what so it doesn't decrease absorption?
Juice/water instead of dairy products
32
Iron dextran should be given in what form so it doesn't stain the skin?
Z track
33
What should you do first w/ iron dextran before giving a fully prescribed dose?
Test dose to avoid anaphylaxis