Megaloblastic Anaemia Flashcards
1
Q
What is Megaloblastic Anaemia
A
deficiency in either…
- B12
or
- Folate
2
Q
If it is a B12 deficiency what should you use
A
IM Hydroxycobalamin
(intervals of up to 3 months)
3
Q
If it is a folate deficiency what should you use
A
Folic Acid up to 4 months
4
Q
If it is a Megaloblastic Anaemia emergency what should you do
A
give both folic acid and hydroxycobalamin
5
Q
If the Megaloblastic Anaemia is undiagnosed what should you not do
A
do not give folic acid on its own, as it can cause neuropathy
6
Q
When should you start taking folic acid during pregnancy
A
12 weeks
7
Q
Which strength of folic acid is used for reduction of neural tube defects in pregnancy
A
5mg
8
Q
What are risk factors for Neural tube defects
A
- smoking
- sickle cell anaemia
- diabetes
- obesity
- use of anti epilepetic drugs
- use of anti malarials
