Definitions
What is pernicious anemia
Decreased amount of red blood cells
Common symptoms of anemia
Fatigue, pallor, and shortness of breath
Graves, hyperthyroidism, and type 1 diabetes
Autoimmune disorders
Schedule days for B12 injections ( easier than you think )
PLANNING
Where vitamin B12 is found
Animal protein products
Larger than normal red blood cells
megaloblastic anemia
Uncontrollable body movements
Ataxia ( seizures )
Medications if used long term may cause pernicious anemia
Colchicine, para amniosalicyclic acid, and aciphex
What is the diagnostic process?
Supplements of Serum vitamin B12 low
Will treat pernicious anemia but may not correct neurological complications
Monthly vitamin B12 injection
What is Atrophic gastritis?
Age related resulting in decreased secrestion of gastric acid
What is paresthesia ( paralysis )?
Tingling and numbness in hands and feet
What is GI disease that can cause pernicious anemia?
Chrons and celiac disease
What do doctors look at in the assessment phase?
Family history, signs and symptoms, and diet
What is a patients health likely to be after a deduction of Pernicious Anemia
Excellent with treatment
What is glossitis?
Swelling of mouth and tongue
What is a positive Babinski's sign
Extension of the great toe and abduction of the other toes instead of the normal flexion reflex to plantar stimulation
What are problems that cause pernicious anemia
People who are strict vegetarians
What is the evaluation phase
Patient's symptoms, and compliance
Pernicious anemia puts a patient at risk for?
MI and/or stroke
What is LDH serum
Monitors muscle break down (i.e. stomach lining)
Symptoms that look like the normal aging process
Fatigue, impaired sense of smell and taste, memory changes, glossitis, parethesia, unstead gait
Nutritional problems that cause pernicious anemia
Poor diet in infancy or during pregnancy
How can you intervene Pernicious Anemia
Vitamin B12 injections, PT/OT, environment
What people are most likely to develop Pernicious Anemia
Black Women