Alterations in Oxygen Transport

Alterations in Oxygen Transport Order Description 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?