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ANEMIA
Question | Answer |
---|---|
Types of Anemia | Microcytic, Normocytic, Macrocytic |
Microcytic Anemia | Mean cell volume is lower than normal. Iron deficiency, hemoglobinopathy, chronic disease, lead disease. |
Normocytic Anemia | Mean cell volume is normal. Acute bleeding, aplastic, hemolytic, low erythropoietin, malignancy. |
Macrocytic Anemia | Low vitamin B12, low folate. |
Anemia vs. Polycythemia | Anemia = deficit of RBCs |
Vitamin B12 | essential for synthesis of DNA; without B12 cells cannot divide properly |
Folate | necessary for synthesis of nucleic acids and nuclear maturation of RBCs; involved with DNA replication |
Iron | essential to hemoglobin. iron is what carries the oxygen in the RBC. |
Stem Cells | RBCs are developed from stem cells |
Erythropoietin | kidney hormone that synthesizes RBCs; action on stem cells turns them into mature RBCs |
Hemoglobin in Mature RBCs | in each mature RBC = 300 hemoglobin molecules. compromise 90% of dry weight |
Hemoglobin Catabolism | Hemoglobin is broken into globin and heme (biliverdin). Biliverdin is broken into bilirubin which is then broken into bile and iron. Both globin and iron are recylced. |
General Signs of Anemia | increased respiration, increased HR, fatigue, decreased activity, pallor, transient heart murmor |