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Introduction
Men
Women
cytoplasm is rich in Hb
mature red blood cells are flexible biconcave disks
that lack a cell nucleus
2.4 million new erythrocytes are produced per
second.
develop in the bone marrow and circulate for about
100120 days in the body before their components
are recycled by macrophages.
RBC
women have about 4 to 5 million erythrocytes per
microliter (cubic millimeter) of blood and
men about 5 to 6 million;
people living at high altitudes with low oxygen
tension will have more
Each RBC contains approx. 270 million of Hb
biomolecules, each carrying 4 heme groups.
RBCs of an average adult human male store
collectively about 2.5 grams of iron, representing
about 65% of the total iron contained in the body
RBC
RBC
Just for GK..
Do u
know????
Immature RBC
about 1% of the red cells
develop and mature in the red bone marrow
then circulate for about a day in the blood stream
before developing into mature red blood cells.
do not have a cell nucleus.
MCV
measure of the average RBC size
allows classification
10 x HCT (%)
MCV
RBC count
(millions/mm3)..
MCV
The normal range for MCV
80-99 fL.
Mean corpuscular hemoglobin concentration
(MCHC)
measure of the concentration of Hb in a given
volume of packed RBCs.
32 to 36 g/dl
Hb
MCHC
HCT
Mean corpuscular hemoglobin
MCH
mean cell Hb
average mass of hemoglobin per red blood cell
MCH = Hb / RBC
27 to 31 picograms/cell
Anemia is actually a sign of
a disease process rather
than a disease itself
The burden of anemia among women in India
M E Bentley and P L Griffiths
Objective: to investigate the prevalence and determinants of
anemia among women in Andhra Pradesh.
Subjects:A total of 4032 ever-married women aged 1549 from
3872 households.
Results:In all 32.4% of women had mild ,14.19% had moderate ,
and 2.2% had severe anemia . Protective factors include Muslim
religion, reported consumption of alcohol or pulses, and high
socioeconomic status, particularly in urban areas. Poor urban
women had the highest rates and odds of being anemic. Fifty-two
percent of thin, 50% of normal BMI, and 41% of overweight
women were anemic.
Conclusion:New program strategies are needed, particularly those
that improve the overall nutrition status of women of reproductive
ages. This will require tailored programs across socio-economic
groups and within both rural and urban areas, but particularly
among the urban and rural poor.
Causes
Causes
Acute Chronic
Classification
If the cells are smaller than normal (under 80 fl), the
anemia is said to be microcytic;
if they are normal size (80100 fl), normocytic;
if they are larger than normal (over 100 fl), the
anemia is classified as macrocytic.
Microcytic anemia
Liver
CKD
cirrhosis
Thalassemia
Thalassemia
Major
Intermedia
Minor
Macrocytic anemia
Megaloblastic anemia, the most common cause of
macrocytic anemia
due to a deficiency of either vitamin B12, folic acid (or
both).
Causes
gastric bypass surgery
Hypothyroidism
Alcoholism
Drugs that affect DNA
Leukemia
The anticonvulsant drug dilantin
Normocytic anemia
overall hemoglobin levels are decreased,
but the red blood cell size(MCV) remains normal.
Causes
Acute blood loss
Anemia of chronic disease
Hemolytic anemia
Aplastic anemia
Aplastic anemia
decrease in or damage to marrow stem cells, damage to
the microenvironment within the marrow, and
replacement of the marrow with fat.
It results in bone marrow aplasia (markedly reduced
hematopoiesis)
CAUSES
congenital or acquired
Idiopathic
Infections and pregnancy
certain medications, chemicals,
or radiation damage
Substances Associated With Aplastic
Anemia
Analgesics
Antiseizure agents (mephenytoin, triethadione*)
Antihistamines
Antimicrobials*
Antineoplastic agents (alkylating agents, antitumor antibiotics,
antimetabolites)
Antithyroid medications
Benzene*
Chloramphenicol*
Gold compounds*
Heavy metals
Hypoglycemic agents
Insecticides
Organic arsenicals*
Phenylbutazone*
Phenothiazines
Sulfonamides*
Sedatives
Hyperanemia
Iron
Vitamin supplements
epoetin alfa (Procrit or Epogen) injection
Stopping a medication that may be the cause of
anemia
Anemia Prevention
Assessment
NURSING DIAGNOSES
MANAGING FATIGUE
Assist the patient to prioritize activities and to
establish a balance between activity and rest that is
realistic and feasible from the patients perspective.
Patients with chronic anemia need to maintain some
physical activity and exercise to prevent the
deconditioning that results from inactivity.
Nursing Interventions