iron anemia Flashcards
how common is iron deficiency
1/2 of anemia cases
most common type
populations that need screened for iron deficiency
prego
1 yo
who get panenteral iron
those who cannot tolerate oral (medicine people, medicine!)
definition of anemia
hemoglobin two deviations below normal for age and sex
types of rbc’s seen with iron deficiency
microcytic however 40% will have normocytic
causes of microcytosis
iron deficiency, lead, inflammation, thalasemia (hem synthesis problem, type of hemolytic disease) , sideroblastic anemia (bone marrow problem)
most accurate test for iron deficiency
ferritin 30 ng/ml (92% sens)
greater than 100 ng/ml exclude iron deficiency
kids at risk for iron deficiency
low birth weight
premature
lead
exclusive breast feeding beyond 4 months
weaning to whole milk and food w/o iron
anemia in pregnancy
hem levels below 11 g/dl in first or third trimester
length of iron treatment before follow up
one month
etiologies of iron deficiency
thyroid
uncontrolled dm
pcos
coagulopathies
fibroids
endometrial hyperplasia
hyperprolactinemia
antipsychotics or antiepileptics
imaging anemia
endoscopy
ct
barium enema
iron therapy
results ?
120 mg per day for three months
hem should increase 1g/dl after one month
when do you transfuse a pt
hem below 6g/dl
