microcytic anaemias - ANS ✓- iron deficiency anemia
- thalassemia
- sickle cell anemia
- haemophilia A
Iron def anemia - incidence/causes - ANS ✓most common cause anemia
worldwide
cause - blood loss, inadequate iron intake, impaired absorption of iron
Iron def anemia - s/s - ANS ✓usually slow in onset
easy fatigue; palpitations, PICA; lethargy, HA, delayed motor development,
palpitations, tachycardia, tachypnoea, postural hypotension, brittle hair, flat,
brittle nails
Iron def anemia - labs - ANS ✓Low - Hgb/hct; low RBC's
low MCV - microcytic
Low MCHC - hypochromic
Increased Total iron binding capacity (TIBC)
serum ferritin <30
low serum iron
Retic count - low if inadequate iron intake and elevated in cases of blood loss)
Iron def anemia - management - ANS ✓correct underlying cause
child - elemental iron - 3-6mg/kg/day in 1-3 doses until Hgb normalizes to
replace iron stores: 2-3mg/kg/day for 4 months
(will take average of 6-8 mo. to normalize iron levels)
adult - PO ferrous sulphate 300-325mg/day and take with juice high in vit C to
increase absorption
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