Anemia Pathophysiology

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PATHOPHYSIOLOGY

PREDISPOSING FACTORS: PRECIPITATING FACTORS:


Age: 13-30 y.o. Dietary intake (Iron, Vitamin B12 and
Gender: Female Folic Acid), erythropoietin
Conditions:Pregnancy, excessive Malabsorption:Lack of intrinsic factor,
menstruation, alcoholics Inappropriate interventions upon intake
Underlying disease conditions: Cancer, of Supplements, Gastrectomy,
Kidney Diseases, Diabetes Mellitus Inflammatory Bowel Disease

Vitamin B12 Deficiency Folic Acid Deficiency Iron Deficiency

Manifestations:
 Smooth sour tongue
 Diarrhea Proliferation of large Lack of hemoglobin in the
 Paresthesias of hands and immature dysfunctional RBC RBC
feet
 Impaired coordination and
position sense
Alterations of Normal
production of RBCs

O2 Carrying Capability Manifestations:


 Pale skin
 shortness of breath
Hypoxia  rapid heartbeat
 low vitality
 dizziness
Hypoxemia

Organ
Dysfunction

Organ Failure

DEATH ANEMIA
PATHOPHYSIOLOGY

ANEMIA

Anemia,  medical condition caused by an abnormally low number of red blood cells. Red blood cells, also called erythrocytes, contain hemoglobin, a red, iron-rich protein that carries oxygen in the blood to the
body’s tissues. People with anemia develop symptoms caused by the poor delivery of oxygen to their body tissues. These symptoms include pale skin, shortness of breath, rapid heartbeat, low vitality, dizziness,
and, if left untreated, stroke or heart failure.

There are three primary causes of anemia: (1) reduced production of red blood cells; (2) excessive destruction of red blood cells; and (3) extensive bleeding. Red  blood cell production becomes impaired if the body
has inadequate amounts of certain nutrients, including iron, vitamin B 12, and folic acid, as well as the hormone erythropoietin, which is produced by the kidneys. Chronic illnesses, such as cancer, kidney disease,
diabetes mellitus, and inflammatory bowel disease, may also lead to decreased red blood cell production. Red  blood cells normally live for about 120 days before the immune system removes them from the body.
The body compensates by producing new red blood cells. But if the destruction of red blood cells exceeds the body’s ability to produce new red blood cells, anemia results. Abnormal  destruction of red blood cells
may be caused by an enlarged spleen, an organ that removes worn red blood cells from the body. The larger the spleen grows, the more red blood cells it traps and destroys. In some cases red blood cells are
destroyed by a malfunction of the immune system in which antibodies attach to red blood cells, marking them for destruction. Red blood cells may also be destroyed by some genetic conditions, such as
thalassemia, that cause defects in the structure or function of red blood cells. Excessive  bleeding can cause dangerously low blood pressure as well as insufficient oxygen delivery to body tissues. Large amounts of
blood loss may occur suddenly due to injury or surgery. In some cases, excessive bleeding may occur over time, such as from bleeding ulcers or tumors of the intestinal tract.

Decreased RBCs in the system would lead to hypoxia that would later turn to hypoxemia. If appropriate interventions are not done, it would lead to organ dysfunction and then organ failure thus complications
arises during this time and if left untreated, death is inevitable.

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