Anemia: Causes and Diagnosis
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Questions and Answers

What is anemia characterized by?

  • An abnormal increase in hemoglobin
  • An excess of erythrocytes
  • A decrease in white blood cells
  • A deficiency in the number or quality of erythrocytes (correct)
  • What is a common cause of chronic blood loss leading to anemia?

  • Acute trauma
  • Bleeding duodenal ulcer (correct)
  • Sickle cell disease
  • Ruptured aortic aneurysm
  • What is the primary function of RBCs?

  • To produce hormones
  • To fight infections
  • To transport oxygen from lungs to systemic tissues (correct)
  • To digest food
  • How is anemia classified?

    <p>According to morphology and etiology</p> Signup and view all the answers

    What is a common laboratory test used to diagnose anemia?

    <p>Complete blood count (CBC)</p> Signup and view all the answers

    What is hemolysis?

    <p>The destruction of RBCs</p> Signup and view all the answers

    What is the primary goal of interprofessional and nursing management in iron deficiency anemia?

    <p>To treat the underlying problem causing loss, reduced intake, or poor absorption of iron</p> Signup and view all the answers

    What is the most common nutritional disorder in the world?

    <p>Iron deficiency anemia</p> Signup and view all the answers

    What is the site of iron absorption in the intestine?

    <p>Duodenum</p> Signup and view all the answers

    Which of the following is a laboratory test used to diagnose iron deficiency anemia?

    <p>Stool occult blood test</p> Signup and view all the answers

    What is the name of the inflammation of the tongue that is a manifestation of iron deficiency anemia?

    <p>Glossitis</p> Signup and view all the answers

    What is the normal range of hemoglobin for females?

    <p>12-16 g/dl</p> Signup and view all the answers

    Which of the following foods is rich in iron?

    <p>Leafy greens</p> Signup and view all the answers

    What is the term for the amount of iron stored in the body?

    <p>Ferritin</p> Signup and view all the answers

    Study Notes

    Anemia

    • A deficiency in the number of erythrocytes (RBCs) or the quantity of hemoglobin (Hgb) or the volume of packed RBCs (hematocrit)
    • Not a specific disease, but rather a manifestation of a pathological process
    • Diagnosis based on complete blood count (CBC), reticulocyte count, and peripheral blood smear

    Causes of Anemia

    • Deficient nutrients (iron, cobalamin, folic acid)
    • Decreased erythropoietin
    • Decreased iron availability
    • Blood loss (chronic or acute)
    • Increased RBC destruction (hemolysis)
    • Sickle cell disease
    • Medication
    • Incompatible blood
    • Trauma
    • RBC function

    Functions of RBCs

    • Transport oxygen from lungs to systemic tissues
    • Carry carbon dioxide from tissues to lungs

    Classification of Anemia

    • Morphology
    • Cellular characteristics
    • RBC size and color
    • Etiology
    • Cause
    • Clinical condition causing anemia

    Lab Values

    • Hemoglobin: Male 14-18 (g/dl), Female 12-16 (g/dl), Low < 6.0, High > 20.0
    • Hgb levels are often used to determine severity of anemia

    Manifestations of Anemia

    • Restlessness and irritation
    • Fatigue
    • Shortness of breath
    • Vary based on how fast anemia has evolved, its severity, and any coexisting disease
    • Fatigue/weakness, dyspnea, dizziness, palpitations
    • Pallor
    • Decreased Hgb
    • Decreased blood flow to the skin
    • Conjunctiva of the eyes can appear pale

    Nursing Interventions

    • Alternate rest and activity
    • Prioritize activities to accommodate energy levels and to maximize O2 supply for vital functions
    • Get ADL's done early
    • Aid to minimize risk of injury from falls
    • Monitor cardiorespiratory response
    • Evaluate nutritional needs

    Iron Deficiency Anemia

    • Most common nutritional disorder in the world
    • Most susceptible: very young people, poor diet, women in reproductive years
    • Iron rich foods: grains, red meat, leafy greens, shellfish, egg yolks, cooked spinach, green peas, broccoli, brussels sprouts, poultry, dried fruits, legumes
    • Etiology: inadequate dietary intake, malabsorption, blood loss
    • Clinical manifestations: dyspnea, fatigue, pallor, palpitations, dizziness, glossitis, cheilitis
    • Diagnostic studies: Hgb, Hct, MCV, MCH, MCHC, reticulocytes, ferritin, serum iron, TIBC, bilirubin, platelets
    • Interprofessional and nursing management: treat underlying problem causing loss, reduced intake or poor absorption of iron

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    Description

    This quiz covers the definition, causes, and diagnosis of anemia, a deficiency in red blood cells or hemoglobin. It includes the factors that contribute to anemia, such as nutrient deficiencies and decreased erythropoietin, as well as the methods used to diagnose anemia, including complete blood counts and peripheral blood smears.

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