Multidimensional Care I / MDC 1
Final Exam Review|2026
Red blood cell production is stimulated by:
1. Tachycardia
2. Tachypnea
3. Renin angiotensin
4. Hypoxia - ANSER-Hypoxia
4 Main components of blood composition - ANSER-RBC, WBC,
platelets, plasma
What is the composition of plasma - ANSER-90% H2O
10% solutes - glucose, protein, albumin, hormones, etc
Where is bone marrow aspiration in infants? - ANSER-Tibia
,Where is bone marrow aspiration in toddlers and preschoolers? -
ANSER-femur and tibia
Where is bone marrow aspiration in children over 5? - ANSER-pelvis
(iliac crest)
Where is bone marrow production in young adults/adults? - ANSER-
ribs, sternum, vertebra, pelvis, skull, clavicle, scapula
what is anemia - ANSER-a condition in which levels of red blood cells
and hemoglobin are lower than normal
4 types of anemia - ANSER-Iron deficiency
lead poisoning
sickle cell
B-thalassemia
Define iron deficiency anemia - ANSER-reduction in the iron stores of
the body causing an inadequate production of hemoglobin
What is iron needed for? - ANSER-to make hgb
,signs and symptoms of iron deficiency anemia - ANSER-pallor
tachycardia
tachypnea
lethargy
fatigue
irritability
Why are neonates at risk for iron deficiency anemia? - ANSER--lack the
maternal iron stores
-Full term infants have maternal iron stores until approximately 6
months of age
-Havent had the time in utero to store up the needed iron supply
(preterm)
How can you treat a neonate with iron deficiency anemia? - ANSER-
Iron fortified formula
What are risk factors for iron deficiency anemia in infants and
children? - ANSER-1.inadequate iron intake
2.Malabsorption of iron in GI tract
3.Chronic blood loss
, Food with good sources of iron - ANSER-red meat, egg yolk, leafy
greens, dried fruits, fortified cereals/formulas, beef, chicken, fish,
beans, nuts, seeds, peanut butter, eggs, prunes, whole grain bread
How is iron deficiency anemia diagnosed? - ANSER-Serum lab
evaluation:
-Red blood cell count = microcytic (small) and hypo chronic (pale in
color)
-low hemoglobin
-low hematocrit
-low reticulocyte count
-low serum iron concentration
-high total iron binding capacity
What is the goal of treatment for iron deficiency anemia - ANSER-treat
medical problem causing malabsorption or blood loss/ identify cause
What is the treatment method for iron deficiency anemia? - ANSER-
Increase iron take
~ Dietary sources
~Medication supplement (ferrosol or ferrous sulfate)