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1. Iron deficiency Pallor, glossitis (inflammation of tongue), cheilitis (inflammation of lips), HA,
anemia s/s paresthesia's, burning sensation of tongue
2. Where is iron Iron is absorbed in the duodenum and proximal jejunum. Enteric coated or
absorbed? What sustained release are contraindicated as they release further down the GI tract.
type is con-
traindicated?
3. How should I Best before meals acidic environment, can stain teeth, dilute with straw. Start with
take my iron sup- one a day and build up to 2-3
plement?
4. What are side Stomach upset, heartburn, constipation, diarrhea
effects of tak-
ing iron supple-
ments?
5. How long will it 90 days, sometimes 120
take to see Hbg
or Hct improve-
ment?
6. Cobalamin and both insidious onset, sore, red, beefy, shiny tongue, anorexia, N/V, abd pain,
Folic acid defi- weakness, paresthesia's feet/hands, ataxia, dementia like confusion. Folic is abs-
ciency similar s/s cence of neuro
7. Sickle cell s/s pallor, jaundice, pain
8. Cobalamin B12 neuropathy, stocking glove neuropathy
think
9. Iron deficiency pale, tired
think
, 6202 Exam 2 Anemia, Leukemia, Cancer, Transplant, Head Injury
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10. Folic acid think early graying of the hair
11. Folic acid defi- absence of Neuro s/s
ciency other s/s
12. What is aplastic Pancytopenia- decrease of all blood cells, T cells target and destroy cells
anemia?
13. Hemolytic ane- jaundice, increased bilirubin, hepatosplenomegaly (spleen, liver) enlarged d/t
mia s/s macrophage phagocytosis.
14. What symptoms Palpitations, dyspnea, fatigue
would you see in
mild anemia?
15. Moderate ane- bounding pulses, fatigue, dyspnea, "roaring in ears"
mia s/s
16. Severe anemia tachycardia, increased pulse P, systolic murmur, int. claudication, angina, HF, MI,
s/s? blurry vision, anorexia, hepatosplenomegaly, sore mouth, dysphagia, weight loss,
lethargy, cold sensitivity, pallor, jaundice, pruritus, glossitis, smooth tongue, bone
pain, tachypnea, orthopnea, dyspnea at rest, HA, vertigo, irritable, depressed,
impaired thought process
17. Why does ane- Often mistaken for normal aging changes, or overlooked d/t other health condi-
mia often go un- tions, look for confusion, ataxia, pallor, CVD and respiratory issues
recognized in the
older adult?
18. Pain manage- Patient priority is pain treatment! try not to send home with narcotics, preventa-
ment for sickle tive-Hydrea-anti-sickling, treatment(only cure)- stem cell transplant, vaccinated,
cell folic acid, flu shots, hydrate! avoid high altitudes, counseling and support groups,
educate!
, 6202 Exam 2 Anemia, Leukemia, Cancer, Transplant, Head Injury
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19. What is MCV? Size
20. What is MCH? Color
21. What is an RDW? Red cell distribution width, far they are spaced out, if its high can indicate iron
deficiency
22. Mild anemia Hgb 10-12
23. Moderate Hgb 8-10
24. Severe anemia under 6
Hgb
25. GI bleed on a Low Hgb Hct, normal or low MCV/MCH
lab will look like
what?
26. What is the normal 150-400
normal blood
platelet count?
27. What is the Reduction below 150
platelet count
in thrombocy-
topenia?
28. What level do 50 no routine procedure no surgery, 20 severe
we become
more concerned
about hemor-
rhage risk?
29.