Hematologic Disorders Flashcards
How is Anemia Diagnosed
- CBC
- reticulocyte count
- peripheral blood smear
- Hgb: severity
Mild Anemia
no symptoms
Moderate anemia
palpitations, bounding pulse, roaring ears, fatigue
Severe Anemia
skin color changes, eye changes, neuro changes
Aging anemia
Hgb can decline, anemia not a normal finding, symptoms are not specific finding, symptoms are not specific
Anemia Geriatric
- more common in the 70s
- may be mistaken for normal aging
most susceptible for iron-deficiency anemia
- Very young
- Poor diet
- Women in reproductive years
ID Anemia Care
- nutrition
- iron supplements
- packed RBCs
Thalassemia
- A group of diseases involving inadequate production of normal Hgb
- Results in decreased erythrocyte production
- pale or jaundice, splenomegaly, bone marrow hyperplasia
Thalassemia Care
- blood transfusion
- splenectomy
Megaloblastic anemias
- cobalamin (B12) & folic acid deficiency
- sore, beefy, red, tongue
- weakness of hands & ft
- antaxia
- confusion
MB Anemia Care
- IV or intranasal cobalamin
- normal folate (3-16) replaced
what differentiates folic acid deficiency from B12?
folic acid lack neuro problems
Aplastic Anemia
pancytopenia: decrease in all blood cell types
- immune therapies & bone marrow transplantation
Acute blood loss
sudden hemorrhage