Anemia Deck 2

Question 1

Folate-Deficiency Anemia causes

Answer 1

GI disorders, several malnutrition or reduced intake, chronic alcohol use, reduced intake of green leafy vegetables and do not live in a country where cereals or grains are supplemented with folic acid, chronic hemolytic anemia with increased RBC turnover.

Question 2

Dietary sources of folate

Answer 2

fresh green vegetables, beans, & wheat.

Question 3

treatment of folate deficiency anemia

Answer 3

oral folic acid

Question 4

Folic acid dose

Answer 4

Initial dose: 1 mg/day in adults in children
Maintenance dose
Infants 0.1 mg/day
Pregnant or lactating women: 0.8 mg/day

Question 5

folic acid monitoring

Answer 5

– hgb/hct in 4 weeks

Question 6

Folic acide prevention

Answer 6

0.4 mg/day prior to conception and during pregnancy

Question 7

Anemia of Chronic Disease

Answer 7

Occurs as a result of a disease process

Older adults

Patients with renal failure, osteomyelitis, tuberculosis, rheumatoid diseases, hepatitis, carcinoma, myeloma, lymphoma, and leukemia at risk

Question 8

Treatment Folate

If associated with chronic renal failure or zidovudine-treated HIV

Answer 8

or zidovudine-treated HIV: epoetin alfa 50 to 100 units/kg in adults and 50 units/kg in children dosed 3 times per week

Question 9

Epoetin alfa dose titrated to keep Hgb level between

Answer 9

10 and 12 g/dL

Question 10

Epoetin alfa dose decreased by

Answer 10

25% if Hgb approaches 12 g/dL or increases by greater than 1 g/dL in any 2-week period

Question 11

Epoetin alfa dose increased by

Answer 11

25% if Hgb is less than 10 g/dL