Why may Mrs. Hoffman be at risk for anemia? Do her laboratory values indicate that she is anemic?
What will be an ideal response?
• Her low laboratory values for RBC, Hgb, and Hct all indicate a risk of anemia.
• Checking her ferritin and ZPP may allow for diagnosis of a true anemia. Elevated transferrin levels can help indicate iron-deficiency anemia, too.
• It is important to note, however, that these values may be affected by her disease state.
• Though her RBC is actually decreased, in many patients with COPD, polycythemia is a result of dysregulated feedback abnormalities that result as a response to chronic hypoxia.
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