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Anemia
overview
45
Anthropology
Pre-School
11/26/2013

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Term
Normocytic, normochromic anemia; neutropenia, thrombocytopenia, pancytopenia
Definition
Aplastic Anemia
Term
chloramphenicol, carbamazepine, Felbamate, Phenytoin, Quinine
Definition
Aplastic Anemia Causes
Term
microcytic, hypochromic, decreased MCV
Definition
Iron deficiency anemia
Term
increased TIBC and decreased transferrin saturation
Definition
iron studies in iron deficiency anemia
Term
macrocytic anemia, increased MCV, mild leukopenia and thrombocytopenia; smear looks just like FA deficiency
Definition
Pernicious/B-12 deficiency anemia
Term
macrocytic, S/S similar to iron deficiency anemia
Definition
folate deficiency anemia
Term
phenytoin, methotrexate, colchicine
Definition
Folate Deficiency Anemia causes
Term
Reticulocytosis, reduced Hgb/Hct, normo or macrocytic, schistocytes/spherocytes/bite cells, increased unconjugated bilirubin, increased lactate dehydrogenase, hemoglobinuria, possibly + Coombs Test (DAT)
Definition
Hemolytic Anemia
Term
key enzyme in production of glutathione
Definition
G6PD
Term
protects hemoglobin against oxygen damage
Definition
Glutathione
Term
Nalidixic acid, nitrofurantoin, phenazopyridine, primaquine, sulfacetaminide, sulfamethoxazole, trinitrotoluene, volatile alkyl nitrites
Definition
Hemolysis Anemia Causes
Term
exceedingly rare, 3 MOA, often requires transfusions, can be fatal
Definition
drug-induced immune hemolytic anemia
Term
infections, cancer, autoimmune disorders (RA, SLE, inflammatory Bowel Disease), CKD
Definition
Anemia of Chronic Disease Underlying Causes
Term
Second most common form of anemia
Definition
Anemia of Chronic Disease
Term
collection of autosomal recessive genetic disorders that are characterized by the presence of at least one SS gen
Definition
Sickle Cell Syndrome
Term
Sickle Cell Syndrome: Heterozygous carriers are protected from succumbing to:
Definition
Plasmmodium falciparum
Term
vaso-occlusive pain crisis; infection; CVA; acute chest syndrome
Definition
Sickle Cell Disease
Term
Avoid taking antacids, calcium, H-2 antagonists, and PPIs with this
Definition
oral iron
Term
Fluoroquinolones, tetracycline, phenytoin
Definition
Iron blocks absorption of other drugs
Term
CDC recommends iron supplementation for treatment of iron deficiency anemia
Definition
for 3 months
Term
Oral Iron
Definition
sulfate, gluconate, fumarate, polysaccharide
Term
Parenteral Iron
Definition
Dextran, Sucros, Ferric Gluconate
Term
Test dose needed, IM "Z-track"
Definition
Iron Dextran
Term
only FDA approved for use with EPO in patients with CKD; effective in IDA, costly, lower risk of anaphylaxis
Definition
Iron Ferric Gluconate
Term
Cyanocobalamin
Definition
B-12 treatment
Term
most common, more reliable, may circumvent the need for a Schilling Test
Definition
Parenteral B-12 (cyanocobalamin)
Term
Hgb will increase 2 weeks after initiation of therapy and may normalize after 2-4 months
Definition
Folate Treatment
Term
Regulates Red Blood Cell Production
Definition
Erythropoietin
Term
erythropoietin stimulate the proliferation and differentiation of erythroid progenitors
Definition
into reticulocytes and prevents apoptosis
Term
Epogen, Procrit
Definition
Epoetin-alfa
Term
Aranesp
Definition
Darbepoetin-alfa
Term
shortened survival, increased risk of tumor progression or recurrence; use if rx of anemia due to concomitant myelosuppressive chemo (do not use if cure is expected), D/C following chemo
Definition
Erythropoetitic Stimulating Proteins (ESPs)-- Patients with cancer
Term
decreased frequency of hospitalization and the incidence of pain, acute chest syndrome, and blood transfusions by almost 50% of patients with sickle cell disease
Definition
Hydroxyurea
Term
myelosuppression, acute leukemia, chronic opportunistic infections
Definition
Hydroxyurea toxicity
Term
secondary: smokers, chronic hypoxia, EPO, altitude
Definition
polycythemia vera
Term
folate or B-12 deficiency, chronic liver disease, chronic alcoholism, cytotoxic medications
Definition
Increased MCV
Term
iron deficiency, alpha or beta thalassemia (minor), chronic disease (usually normocytic)
Definition
decreased MCV
Term
B-12 deficient, folic acid deficient, alcoholism, some cyto-toxic drugs
Definition
macrocytes
Term
iron deficient, anemia of chronic disease, alpha or beta thalassemia, decreased MCV, if also hypochromic <--> almost certainly Fe deficient
Definition
Microcytes
Term
"Broken cell"
Definition
Schistocyte
Term
helmet cell, burr cell, acanthocyte, seen in fragmentation syndromes such as mechanical valvular and hemolytic anemias
Definition
Schistocyte- deformed or broken RBC
Term
crescent shaped RBCs pointed at one or both ends; found in some patients with homozygous sickle cell anemia
Definition
Sickle Cells
Term
iron delivery and transport
Definition
Transferrin
Term
measures the blood's capacity to bind iron with transferrin (indirect measure of transferrin)
Definition
TIBC
Term
determines the ability to absorb B-12 from the GI tract
Definition
Schilling test
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