Vancouver Island is part of British Columbia, Canada. As well as the island itself, it is also a region which includes the Gulf Islands in the Strait of Georgia. It is often referred to by the locals as simply 'The Island'.he most common way to get to Vancouver Island is by BC Ferries [3] . There is regular ferry service from Tsawwassen (near Vancouver) to Swartz Bay (Near Victoria), Tsawwassen to Duke Point (near Nanaimo) and Horseshoe Bay (Near Vancouver) to Departure Bay (in Nanaimo).
Hemolytic anemia caused by chemicals and toxins. Hemolytic anemia caused by chemicals and toxins is a lack of red blood cells that occurs when red blood cells are excessively damaged by certain chemicals or toxins. Possible substances that can cause hemolytic anemia include: Anti-malaria drugs (quinine compounds)
It is usually caused by liver failure (cirrhosis of the liver), renal failure/disease, right-sided heart failure, as well as severe malnutrition/protein deficiency. The increase in salt and water retention caused by low cardiac output can also result in anasarca as a long term maladaptive response. It can also be created from the administration of exogenous intravenous fluid. Certain plant-derived anticancer chemotherapeutic agents, such as docetaxel, cause anasarca through a poorly understood capillary leak syndrome. In Hb Barts, the high oxygen affinity results in poor oxygen delivery to peripheral tissues, resulting in anasarca.