Iron Deficiency Anemia
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Know your normal values
Hypoproliferative Anemias = Decreased production of RBCs
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Iron Deficiency Anemia
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Patho
- Microcytic (note that the cells are not just less in number, but smaller)
- Red Blood Cells are small in size
- small cells have a lower capacity to carry oxygen.
- Decreased oxygen explains most of the symptoms of anemia (e.g., fatigue and shortness of breath
- Serum Ferritin < 10 (normal 12-300) (Ferritin is the protein that contains the iron in the RBC).
- ⇓ RBC production
- 2/3 of iron in Hgbs ⇒ less RBCs⇒Less Hgb⇒less iron
- Poor intake of iron and poor diet
- Vegetarian diet
- Inability to absorb iron (e.g. bariatric surgery or Celiac disease
- Blood loss
- Women and elderly are at risk
- Pregnancy
- Severe symptoms: smooth, red tongue and brittle and ridged nails
- Increase intake of iron
- red meat
- Organ meat
- egg yolks
- kidney beans
- leafy green veggies
- Iron-fortified cereals
- Oysters and tuna
- Seeds
- Fish
- Adequate rest
- Avoid coffee or tea since inhibit absorption of iron.
- Iron Supplement
- Liquid iron: drink with a straw and brush teeth afterwards.
- DO NOT take iron with calcium (milk or antacids) because it ⇓ absorption.
- Iron names (ferrous sulfate, ferros gluconate, ferrous fumarte)
- May be given IV as well!
