Unit 12 - Intro to Anemia Flashcards

1
Q

Anemia definition

A

Decrease in the competence of blood to supply tissues with oxygen

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2
Q

What is the result of anemia?

A

Tissue hypoxia

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3
Q

Anemia is not an actual ___, but a(n) ____

A

Disease/Pathology
Expression of underlying RBC deficit

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4
Q

Diagnostic evaluation for Anemia based on

A

Signs/Symptoms
Patient History
Physical examination
Lab findings

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5
Q

At 10,000 feet, “normal” hgb is ____

A

2 g/dL higher

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6
Q

Mild anemia in adults and children range

A

10-12 g/dL

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7
Q

Moderate anemia in adults and children range

A

7-10 g/dL

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8
Q

Severe anemia in adults and children range

A

<7 g/dL

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9
Q

Degrees of anemia are different in what populations

A

Neonates
Pregnant women
High altitude residents
Smokers

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10
Q

S/S of anemia

A

Fatigue
Pallor
Heart palpitations
Shortness of Breath
Dizziness
Headache on exertion

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11
Q

What are the adaptive mechanisms to anemia?

A

Get RBCs to the tissues faster
Diver O2 from low O2 organs to vital organs
Increase tissue efficiency in using oxygen

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12
Q

How would the body get RBCs to tissues faster?

A

Increase cardiac output
Increase cardiac rate
Increase circulation rate

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13
Q

Low O2 requiring tissues

A

Skin
Kidneys

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14
Q

High O2 requiring tissues

A

Heart
Brain

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15
Q

The bone marrow can increase production by how much in response to anemia?

A

6-8 times

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16
Q

Erythroid hyperplasia

A

Result of bone marrow compensation for anemia
Increase in erythroid precursors

17
Q

Anemia is either a ….

A

Production problem
Destruction problem
(rare - acute blood loss)

18
Q

What happens immediately after acute blood loss?

A

Blood pressure falls

19
Q

Which duration of anemia is more easily compensated for? gradual or acute?

A

Gradual

20
Q

How a patient responds to anemia is dependent upon:

A

Severity of anemia
Competency of cardiovascular and respiratory systems
Oxygen requirement of the individual (physical and metabolic activity)
Duration of anemia

21
Q

Myeloid:Erythroid ratio in erythroid hyperplasia

A

1:3 (normal is 3:1)

22
Q

Other conditions with tissue hypoxia

A

decreased pO2
Emphysema
Heavy smokers

23
Q

Polycythemia

A

RBC values above reference interval

24
Q
A