Lecture 7 Chapter 11 Flashcards

1
Q

Where is heme iron found?

A

Only found in meat i.e. Steak

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2
Q

Where is non-heme iron found?

A

Spinach

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3
Q

How much iron do you need within your diet? And how much do you need per day?

A

10-20 mg in diet
1-2 mg/day

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4
Q

What does transferrin do?

A

Transports iron

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5
Q

You lose 1-2mg iron/day from what?

A

Desquamation of epithelia

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6
Q

After iron is absorbed where does it get transported and what percent of it is transported

A

75% - hemoglobin/erythropoiesis
10-20% - ferritin (stores iron in liver and hearts
5-15% - other processes

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7
Q

Name 2 examples of when women would need more iron

A

Post period
Pregnant

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8
Q

What is the role of hepcidin and where is it produced

A

Protein produced by the liver
Traps iron in cells/cytoplasm

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9
Q

Whole-body iron metabolism

A
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10
Q

What percent of total body iron is hemoglobin iron

A

~65%

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11
Q

What percent of total body iron is storage iron: hemosiderin, ferritin

A

~25%

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12
Q

Regulation of iron absorption

A
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13
Q

Transport and storage

A
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14
Q

Where is transferrin produced?

A

Liver

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15
Q

How does iron move from the body to an erythrocyte

A

Body iron stores serum ferritin
Transferrin birds to receptor
Transferrin delivers ion to hgb in developing erythrocyte

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16
Q

What stain is used on iron

A

Prussian blue

17
Q

What does ferritin do

A

Big, binds to iron, stores ferric iron

18
Q

What is hemosiderin

A

More oxidized than ferritin, harder to remove iron

19
Q

What is the arrow pointing at

A

Iron deposits

20
Q

How do you find the serum iron level

A

Total iron binding capacity - tagged ion

21
Q

How to find % tranferrin saturation

A

Iron/total iron-binding capacity (TIBC) x 100

22
Q

How do you find the unsaturated iron-binding capacity

A

Count the empty sides where a tagged iron is supposed to go

23
Q

What is acute phase reactant

A

Group of proteins
Level increases or decreases with chronic disease or inflammation

24
Q

Transferrin level result with chronic disease

A

Positive, increase

25
Albumin level result with chronic disease
Negative, decrease
26
Ferritin level result with chronic disease
Increase
27
Lab assessment of serum transferrin receptors
Decreases a lot of storage Increase, no iron serum
28
What birds to free erythrocyte protoporphyrin
ZInc, no iron
29
What 6 organs are affected when there is an iron overload
Pituitary Thyroid Heart Liver Pancreas Gonads
30
How does iron overload affect the pituitary
Impaired growth, infertility
31
How does iron overload affect the thyroid
Hypoparathyroidism
32
How does iron overload affect the heart
Cardiomyopathy, cardiac failure
33
How does iron overload affect the liver
Hepatic cirrhosis
34
How does iron overload affect the pancreas
Diabetes mellitus
35
How does iron overload affect the gonads
Hypogonadism
36
Iron panel