Anemia: Iron-deficiency Flashcards

1
Q

What groups are more susceptible for iron deficiency anemia?

A
  • Babies, children
  • The poor
  • Women in their reproductive years
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2
Q

What are the two types of iron?

A
  • Heme: found only in meat and is easily absorbed by the body
  • Non-heme: found in plant foods and not as easily absorbed
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3
Q

True or False

Beef provides more heme iron than oysters.

A

• False, oysters contain almost twice the amount.

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4
Q

What are a couple of veg items that contain good iron levels?

A

• Beets & Spinach

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5
Q

What types of meat are best for iron?

A

• Red, liver, fish, oysters

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6
Q

Where is heme stored in the body?

A
  • 2/3 in RBCs

* 1/3 in bone marrow, spleen, and macrophages

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7
Q

True or False

Iron must be replaced, or hemoglobin is reduced.

A

• True

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8
Q

Where is iron absorbed in the body?

A

• In the duodenum and upper jejunum

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9
Q

What are some general causes of iron deficiency anemia?

A
  • Poor diet
  • Malabsorption problems
  • Blood loss
  • Hemolysis (separation of the hgb from the RBCs)
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10
Q

What is thrombocytopenia?

A

• A condition in which you have a low blood platelet count.

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11
Q

What is thrombocytosis?

A

• A disorder in which your body produces too many platelets.

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12
Q

What is the relationship of iron and thrombopoiesis?

A

• A lack of iron will stimulate thrombopoiesis which can lead to thrombocytosis.

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13
Q

What are the general s/s of iron-deficiency anemia?

A
  • Extreme fatigue
  • Weakness
  • Pale skin, Cold hands and feet
  • Chest pain, fast heartbeat or shortness of breath
  • Headache, dizziness
  • Inflammation or soreness of your tongue (smooth and red)
  • Brittle nails
  • PICA and poor appetite
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14
Q

Why are enteric-coated or sustained-release capsules, not a good option for iron supplements?

A

• Iron is absorbed in the duodenum and proximal jejunum. These types of pills release iron farther down the GI tract, are counterproductive and expensive.

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15
Q

Ferrous sulphate: Class and dosage info.

A
  • Class: Iron supplement

* Dosage: 150-200mg 2/3 x’s daily

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16
Q

What are the sfx of ferrous sulphate?

A
  • Constipation/diarrhea
  • Black stools
  • Nausea
  • Heartburn, abdominal/epigastric pain
17
Q

How is ferrous sulphate best absorbed?

A

• When take with orange juice

18
Q

Why is liquid iron given diluted and through a straw?

A

• It will stain the mouth

19
Q

When should iron be taken in relation to meals?

A

• Should be taken 1hr before meals

20
Q

Many individuals who need supplemental iron cannot tolerate ferrous sulphate because of the effects of the sulphate base. What is an acceptable substitute?

A

• ferrous gluconate

21
Q

What are some reasons parenteral iron would be given?

A
  • Malabsorption
  • Oral iron intolerance
  • Need for iron beyond normal limits
  • Poor pt compliance
22
Q

What method of admin is employed for parenteral iron?

A

• IV or IM (IM may stain skin)