Week 7 - Anemia

Question 1

Components of the blood slide

Answer 1

Question 2

How RBC are made diagram

Answer 2

Question 3

A low hemoglobin/hematocrit could signal ____

Answer 3

anemia

Question 4

What lab test does Hb measure? (2)

Answer 4

• measures the total amount of hgb in the blood
• used as a rapid indirect measurement of RBC

Question 5

What lab test does Hct measure

Answer 5

• measures the percentage of the total blood volume that is made up by the RBCs

Question 6

What lab test do reticulocytes measure? (2)

Answer 6

• indication of the ability of the bone marrow to respond to anemia and make RBCs
• It is used to classify and
  monitor therapy of anemias

Question 7

What lab does serum iron measure?

Answer 7

• amount of iron found in hemoglobin

Question 8

What is ferritin?

Answer 8

• The serum ferritin study is a good indicator of available iron stores in the body

Question 9

What is transferrin? (2)

Answer 9

• Iron is bound to a globulin protein called transferrin and carried to the bone marrow for incorporation into hemoglobin
• Transferrin exists in
  relationship to the need for iron

Question 10

If iron stores are low, what about transferrin? How about if there is too much iron?

Answer 10

• When iron stores are low, transferrin levels increase
• transferrin is low when there is too much iron

Question 11

What does serum B12 indicate?

Answer 11

• Blood levels of vitamin B12 help to indicate if there is a vitamin deficiency present impacting RBC production

Question 12

What does folate in blood indicate?

Answer 12

if there is a folate deficiency impacting RBC production

Question 13

What happens when we do not have enough RBC (anemia)? (2)

Answer 13

• blood cannot carry enough oxygen to cells
• without enough oxygen to part of the body, anemia symptoms can occur

Question 14

What are the skin signs and symptoms of anemia? (3)

Answer 14

• General pallor (more noticeable on the ears, nail beds, palm creases, and around the mouth
• cool to touch
• patient does not tolerate cooler temperatures

Question 15

What are the CV signs and symptoms of anemia? (3)

Answer 15

• Continuous rapid heartbeat that increases after meals and with activity
• severe anemia may have abnormal heart sounds (murmurs and gallops)
• orthostatic hypotension

Question 16

What are the respiratory signs and symptoms of anemia? (2)`

Answer 16

• breathless on exertion
• decreased oxygen saturation levels

Question 17

What are the neurological signs and symptoms of anemia? (3)

Answer 17

• fatigue
• increased need for sleep
• reduced energy levels

Question 18

Anemia critical values

Answer 18

Question 19

Hct critical values + S&S

Answer 19

Question 20

What 3 types of anemia are due to decreased production of RBC?

Answer 20

• iron deficiency anemia
• Vitamin B12 deficiency anemia
• folic acid deficiency anemia

Question 21

What anemia is due to blood loss (acute and chronic)?

Answer 21

bleeding