Alterations in Oxygen Transport
Deb Smith, age fifty-six, came to her nurse practitioner (NP) with fatigue, pallor, dyspnea on exertion, and palpitations. Her laboratory report indicates that her hematocrit, hemoglobin, and reticulocyte counts are low; that her MCV is high; and that her MCH and MCHC are normal. Her diagnosis is pernicious anemia.
Answer the following questions regarding Deb���s anemia and provide the pathophysiology associated with the body���s response to this disease process.
��� Why should Deb���s NP ask her about paresthesia and ataxia?
��� Why did her NP prescribe vitamin B12 by intramuscular injection rather than orally?
��� What causes pernicious anemia?
��� What are the technical terms that describe an anemia with high MCV and normal MCH?
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