Anemias Flashcards
Whats the low HCT levels for males and females?
41% male
37% female
Most common cause of anemia in people?
chronic bleeding
When someone has GERD in their PMH what are we thinking wth fatigue?
What coudl cause tis?
anemia
The ibuprofen shes taking. major cause of GI bleeds
zantac protentionally block what?
absorption in the small intestine
low acid
What does Alendronate (fosamax) cause?
ulcers and GI bleeds
What s the normal value for hemoglobin?
12
Whats the nromal amount of of body in the body is what?
3 to 4 grams
If you think someone is iron deficiency what should you order?
Less than what is an indicator of anemia?
serum ferritin
12
How much more blood loss in considered menhhoragia?
5 times more. like 250 ml
When do symptoms start?
when iron stores (ferritin) is used up. then serum iron goes then transferrin saturation capacity goes up
HOw fast will iron supplement bring the patient back up to normal?
couple months
keep doing it a few weeks after
chronic disease that causes anemia
lupus RA Cancers -carcinoma -lymphoma -leukemias TB AIDS Osteomyelitits
How will the retculocyte count be?
usually normal
serum iron and serum ferritin low
Whats the biggest mediator for hepdiden?
interleukin 6
Neuro
Heme
Muskeulosketel
endocrine
system to look for for parestheiesa symptoms
When you see target cell what should you think of immediately??
liver something
Anemia of acute blood loss?
hemoglobin will be normal initially, takes 24 hours
cant really rely on your labs
Spherocytosis?
problem with their spectrum and atrum
cant pass thorugh things, less deformable
gets trapped and chews up in sleep
What haptoglobin?
binds to hemoglobin
reduced levels means that its all being used up
Elevated LDH occurs when?
When inflammation happens
tissue damage
hemolysis
