Alterations in Oxygen TransportDeb 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.
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