Disorders of RBCs Causes Trauma, severe GI bleed UGIB, menorrhagia Condition Anemia of acute blood loss Anemia of chronic blood loss Genetic defect (homozygous and heterozygous forms) Sickle cell anemia Genetic defect (homozygous and heterozygous forms) Thalassemia Antibodies attack transfused cells, nonhemolytic febrile reactions from cytokies GI bleeding, menstruation, vegetarianism Pernicious anemia, gastric surgery, achlorydia Intestinal disorders, malnutrition Destruction on bone marrow, radiation, medications Genetic disorder, secondary to hypoxia Blood transfusion reaction Iron deficiency anemia Effects Tachycardia, hypotension, pallor, weakness May lack obvious S and S, melena, fatigue Hyperbilirubinemia, jaundice, vasoocclusive crises, splenomegaly Fatigue, bone pain, children have chipmunk appearance or “hair on end” of skull bones, spleen and liver enlargement Fever, chills, flushing, tachycardia, tachypnea Microcytic and hypochromic cells, fatigue, koilonychias, pica Fatigue, dyspnea, glossitis, tingling Vitamin B12 and numbness in hands and feet, deficiency megaloblastic cells Megaloblastic cells, may lack overt Folic acid deficiency signs and symptoms, weakness, fatigue Fatigue, weakness, bleeding, Aplastic anemia petechiae, nosebleeds, increased infections Splenomegaly, elevated Hct and Hb, Polycythemia Flushed face