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Anemias
From: Medical-Surgical Nursing (Ignatavicius)
39
Nursing
Undergraduate 3
02/21/2011

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Term
Components of Blood
Definition
Plasma and cells
Term
Plasma is part of ____.
Definition
Extracellular fluid
Term
Three main plasma proteins:
Definition
Albumins
Globulins
Fibrinogen
Term
Albumin: functions
Definition
Increases osmotic pressure in blood
Term
Globulin: function
Definition
Transportation of certain substances
Helps protect against infection
Main component of antibodies
Term
Fibrinogen: function
Definition
Important for blood clotting
Term
Cellular components of blood
Definition
RBCs, WBCs, and platelets
Term
RBC Characteristics
Definition
Ability to change shape
120 day life span
Undergo recycling process
Term
Critical element of Hgb:
Definition
Iron
**Also transports 02
Term
Fe- limit on Hgb
Definition
Each Hgb molecule can carry 4 Fe- molecules
Term
Globin portion of Hgb:
Definition
carries O2
Term
Erythropoiesis controls:
Definition
RBC production
Term
Trigger for RBC production
Definition
Tissue oxygenation
Term
Kidney produces:
Definition
RBC growth factor
**At rate of RBC destruction
Term
Excessive tissue oxygenation result
Definition
Decreased EPO
Term
Synthetic EPO examples
Definition
Procrit, Epogen
Term
Essential substances to form RBC/Hgb
Definition
Fe-, B12, Folic Acid, Pyridoxine
Term
Accessory organs: Spleen
Definition
Located under diaphragm to left of stomach
Stores RBCs and platelets
Destroys old or imperfect RBCs
Filters antigens
Term
Accessory Organs: Liver
Definition
Can store large quantities of whole blood & cells
Produces most of blood clotting factors
Stores extra Fe- as ferritin
Small amounts of EPO produced in liver
Controls Vitamin K
Term
Age-related changes re: blood
Definition
Decreased blood volume
Decreased blood cell production
Decreased levels of Hgb after middle age
Term
Dx tests r/t blood issues
Definition
CBC [RBCs, WBC w/ differential, MCV, MCHC, MCH, H&H, platelets]
Retic count
Serum ferritin
Transferrin
TIBC
Schilling test
Term
Hgb/Hct normal values
Definition
Male: 14-18; 42-52%
Female: 12-16; 37-46%
Term
Reticulocyte Count
Definition
Count of immature RBCs
Term
Serum Ferritin: defined
Definition
measures free Fe- in blood
Term
Serum Ferritin: nsg consideration
Definition
Must know baseline to determine abnormality
Term
Transferrin: function
Definition
Protein which transports Fe- from GI tract
**Difficult to measure
Term
TIBC: purpose
Definition
Total iron binding capacity
*Measures how much Fe- is bound to ferritin
Term
Schilling test: purpose
Definition
Tests for pernicious anemia
Evaluates vitamin B12 absorption
Term
Schilling test: nsg considerations
Definition
Ct must save all urine for 24-48 hours
Term
Schilling test: other
Definition
Radioactive B12 given orally
Nonradioactive B12 given IM
**IM absorbs faster
Term
Anemia: defined
Definition
Reduction in either # of RBCs, amount of Hgb or Hct
Term
Anemia: causes
Definition
Dietary issues, hemorrhage, organ/marrow failure, Drug ingestion, genetic aberrations, surgical procedures, rapid metabolic activity, malabsorption syndromes, dialysis, viral infection
Term
Iron stores
Definition
Fe- is essential for life
2/3 of Fe- is contained in Hgb
1/3 stored in bone marrow, liver, muscle & spleen
*Stores are used before Hgb in deficiency
Term
Iron deficiency anemia
Definition
Most common form of anemia
Term
Iron deficiency: inadequate iron intake r/t
Definition
Fe deficient diet
Chronic ETOH use
Malabsorption syndromes
Partial gastrectomy
Term
Pts at high risk for iron def.
Definition
Women
elderly
adolescents
those with poor nutrition
Term
Iron Deficiency: Clinical Manifestations
Definition
Small RBCs (microcytic)
Decreased MCV
Low serum ferritin
Weakness
Pallor
Term
Iron deficiency: tx
Definition
Increase intake of Fe-rich foods
Take oral Fe supplement
Term
Iron-rich foods
Definition
Organ meats, kidney beans, red meat, egg yolks, carrots, green veg, whole wheat, cereals, and raisins
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