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RAGHAVENDRA INSTITUTE OF
PHARMACEUTICAL EDUCATION & RESEARCH
HAEMATINICS
GUIDED BY:
SUDHEER SIR
PRESENTED BY:
K.SRAVYA PUJITHA.
HAEMATINICS
Heamatinics PPT
Heamatinics PPT
Heamatinics PPT
Heamatinics PPT
Iron
 Iron is absorbed all over the intestine.
 Absorbed
 Directly
 At luminal membrane- divalent metal transporter1(DMT1)
 Basolateral membrane  ferroportin (FP)
 Iron is distributed
 as haemoglobin in erythrocytes
 Stored as ferritin and haemosiderin in liver spleen bone marrow
 as myoglobin in muscles
 as parenchymal iron in reticuloendothelial cells
 as transferrin which are iron
-binding blood plasma glycoprotein
Factors impeding iron absorption
 Antacids
 Egg
 Phytates (in maize and wheat)
 Tetracyclines
 Presence of other foods in the stomach
 Mucosal block (ferritin curtain)
 the gut has a mechanism of preventing entry of excess iron in the body
Heamatinics PPT
Effects of deficiency
 Megaloblastic anaemia
 Spina bifida of the foetus in case of pregnant women
Adverse effects:
 Allergy
 Anaphylaxis
Heamatinics PPT
Vitamin B12 :
 Cyanocobalamin and hydrocobalamine
 referred to as vit B12
 Vit B12 is intricately linked to folate metabolism
 Involved in protein synthesis
 Involved in DNA production
 Involved carbohydrate and lipid metabolism
 Is utilised in thymidylate synthesis
Vitamin B12
required for the
 the conversion of homocysteine to methionine
 conversion of methylmalonyl-CoA to succinyl CoA
 interconversion of leucine and beta leucine
Manifestations of deficiency :
 Megaloblastic anaemia
 Epithelial damage
 Neural tube defect
 General weakness
Heamatinics PPT
Heamatinics PPT
Folic Acid
 Source:
liver, cereals, nuts, green vegetables
Pharmacokinetics:
 Administered through oral or parenteral routes.
 Absorbed from the proximal jejunum.
 Widely distributed and stored in the liver
Function of Folic acid
 It is the parent compound of folates
 folates act as a cofactor in the formation of purine and pyrimidine
 which is essential for DNA synthesis. Folate cofactor is also needed
in the formation of thymidylic acid.
Uses of vitamin B12 and folic acid
Megaloblastic anaemia:
 Nutrtional folate deficiency
 Increased demand-pregnancy, lactation, infancy, severe iron
deficiency
Pernicious anaemia (folate deficiency)
 Malabsorption syndrome- tropical sprue coeliac disease,
 Antiepileptic therapy causes megaloblastic anaemia
 Prophylaxis of folate deficiency
Methotrexate toxicity are countered
Heamatinics PPT
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Heamatinics PPT

  • 1. RAGHAVENDRA INSTITUTE OF PHARMACEUTICAL EDUCATION & RESEARCH HAEMATINICS GUIDED BY: SUDHEER SIR PRESENTED BY: K.SRAVYA PUJITHA.
  • 7. Iron Iron is absorbed all over the intestine. Absorbed Directly At luminal membrane- divalent metal transporter1(DMT1) Basolateral membrane ferroportin (FP) Iron is distributed as haemoglobin in erythrocytes Stored as ferritin and haemosiderin in liver spleen bone marrow as myoglobin in muscles as parenchymal iron in reticuloendothelial cells as transferrin which are iron -binding blood plasma glycoprotein
  • 8. Factors impeding iron absorption Antacids Egg Phytates (in maize and wheat) Tetracyclines Presence of other foods in the stomach Mucosal block (ferritin curtain) the gut has a mechanism of preventing entry of excess iron in the body
  • 10. Effects of deficiency Megaloblastic anaemia Spina bifida of the foetus in case of pregnant women Adverse effects: Allergy Anaphylaxis
  • 12. Vitamin B12 : Cyanocobalamin and hydrocobalamine referred to as vit B12 Vit B12 is intricately linked to folate metabolism Involved in protein synthesis Involved in DNA production Involved carbohydrate and lipid metabolism Is utilised in thymidylate synthesis
  • 13. Vitamin B12 required for the the conversion of homocysteine to methionine conversion of methylmalonyl-CoA to succinyl CoA interconversion of leucine and beta leucine Manifestations of deficiency : Megaloblastic anaemia Epithelial damage Neural tube defect General weakness
  • 16. Folic Acid Source: liver, cereals, nuts, green vegetables Pharmacokinetics: Administered through oral or parenteral routes. Absorbed from the proximal jejunum. Widely distributed and stored in the liver Function of Folic acid It is the parent compound of folates folates act as a cofactor in the formation of purine and pyrimidine which is essential for DNA synthesis. Folate cofactor is also needed in the formation of thymidylic acid.
  • 17. Uses of vitamin B12 and folic acid Megaloblastic anaemia: Nutrtional folate deficiency Increased demand-pregnancy, lactation, infancy, severe iron deficiency Pernicious anaemia (folate deficiency) Malabsorption syndrome- tropical sprue coeliac disease, Antiepileptic therapy causes megaloblastic anaemia Prophylaxis of folate deficiency Methotrexate toxicity are countered