Anemia and GA

Question 1

Whats the common cause of IDA in female

Answer 1

Blood loss from menstruation
Pregnancy
Poor absorption

Question 2

Common cause of IDA in males and non menstruating females

Answer 2

Chronic blood loss d/t gi malignancy, gi lesions, autoimmune gi disease
Poor intake
Malabsorption

Question 3

Ix to diagnose IDA

Answer 3

CBC - hb low
Serum ferritin (storage) - reduce
Fe2+ (free) - reduce
Transferrin (vehicle) - increase
TIBC - increase

Question 4

Perioperstive mx of anemia

Answer 4

Identify cause
Treat the cause
Treat anemia
Postpone non urgent elective surgery

Question 5

Tx of anemia?

Answer 5

Oral iron supplements 4-8 weeks prior to surgery, until postop
200mg daily for therapy. Maintenance 40-60mg

IV iron indicated 
- urgent emergency surgery
- unable to tolerate oral iron or unable to be absorbed
- functional iron deficiency
20mg/kg

Blood transfusion

• symptomatic anemia (tachycardia, sob, pallor, bounding pulse)
• Hb < 7g/dL

EPO

• refuse blood transfusion
• blood not available