Archive:Anemia
Initial Assessment
1. Is the patient anemic?
- Hgb < 115 in females, < 125 in males
2. Is this anemia acute or chronic?
3. Is this dilutional anemia? (hematocrit)
4. What is the size of the RBC? (MCV)
5. Is body appropriately responding? (reticulocyte count)
6. What does the peripheral blood smear show?
| MCV < 80
(hypochromic) |
normocytic (normochromic)
low reticulocytes |
normocytic
high reticulocytes |
MCV > 100 |
| Fe deficiency
ACD |
chronic liver disease
thalassemia trait liver disease megaloblastic marrow failure (pancytopenia) myelodysplasia leukemia alcohol myeloma hypothyroidism mets infection |
blood loss
hemolysis |
lead overload
renal failure (uremia) B12 lack sideroblastic endocrine (thyroid) folate lack ACD hematinic lack drugs |
Acute Confusion - Acute Coronary Syndrome Orders - Anemia - Arterial Blood Gasses - Asthma - Blood Pressure - Chest pain - Chest XRay - CHF - Coma - COPD - Cranial Nerves - Diabetic History - Diabetic Foot - Dysphagia - EKGs - Gallbladder and Liver - Liver Disease - Gait and Balance - Headache - Hematemesis - Hypertension - Jugular Venous Pulses - Knee Exam - Lymph Nodes - Community Acquired Pneumonia - Parkinson Disease - Peripheral Arterial Insufficiency - Pneumonia Examination - Precordial Exam - STD's - Spleen - Swollen Leg Exam - Thyroid Exam - Upper vs Lower Motor Neuron Lesions - Urinary Incontinence