TY - CHAP M1 - Book, Section TI - Anemia A1 - Hecht, Keith A. A2 - Sutton, S. Scott Y1 - 2019 N1 - T2 - McGraw-Hill's NAPLEX® Review Guide, 3e AB - Anemia is a decline in the concentration of hemoglobin resulting in a reduction of the oxygen-carrying capacity of the blood. Patients with anemia may be asymptomatic initially, but the lack of oxygen eventually results in fatigue, lethargy, shortness of breath, headache, edema, and tachycardia. Clinical complications of anemia arise when the hemoglobin concentration falls below 7 to 7.9 g/dL (70-79 g/L or 4.34-4.9 mmol/L) and include cardiovascular sequelae and hypoxia. Common causes of anemia include blood loss, decreased production of red blood cells (RBCs), increased destruction of RBCs, or a combination of these factors. Comorbid conditions increase the risk of anemia, particularly in cancer patients receiving chemotherapy and chronic kidney disease (CKD) patients. Factors leading to hypoproductive anemia are: nutritional (such as iron, vitamin B12, and folic acid), cancer, and CKD. Patients with immune-related diseases (such as rheumatoid arthritis and systemic lupus erythematosus) can develop anemia as a complication of their disease. Anemia related to these chronic inflammatory conditions is termed anemia of chronic disease (ACD). Management of the anemia is determined by the underlying cause. Drug therapy is key in the management of anemia secondary to decreased production of RBCs and will be the focus of this chapter. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1158313829 ER -