RBC disorders Flashcards
Iron should be taken:
On an empty stomach
Possibly with OJ
foods high in iron
Eggs
Seafood
Oatmeal
Beens
Nuts
Fortifies
Legumes
Rice
Dark green vegetables
Foods that have vitamin B 12
Meats and dairy
The normal range of folic acid
1.8 - 9
Usually absent in pernicious anemia
Intrinsic factor
Pernicious anemia
Decrease in RBCs due to the GI system inability to absorb vitamin B 12
Aplastic anemia
Bone marrow suppression
Complications of aplastic anemia
Infections
Bleeding and bruising
When does vitamin B 12 need to be injected
If ileum is taken out or GI messed up
How often is Vitamin B12 injected
Monthly
Areas to inject vitamin B12
Ventro and Dorso glutes
The best position to lay for an injection of vitamin B12
The stomach with feet pointed down
Signs of pernicious anemia
Sensation and numbness to extremities
Cognitive issues
Depression
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Schillings test
Urine test to see if the body is absorbing vitamin b 12
Should pee out B12 if absorption is happening
Which form of sickle cell is the carrier type
Homo
When should V/S be assessed for blood infusions
First 15
every hour for 4 hours
How long should a blood transfusion last?
<4 hours
Size of IV recommended for blood transfusions
20 gauge or bigger
What lab should be checked prior to an EPO transfusion
Hematocrit
EPO therapy
Given via IV
Initial dose based on BP
Monitor hematocrit
Avoid driving and hazardous activity initially
Why is vitamin B12 Generally toxic free?
It is water soluble
Early symptoms of polycythemia
Headaches
Syncope
SOB
Late symptom of polycythemia
Priuritis
