Podcast
Questions and Answers
What is the primary cause of pain during a sickle cell crisis?
What is the primary cause of pain during a sickle cell crisis?
- Increased oxygen flow to tissues
- Vaso-occlusion leading to tissue hypoxia and necrosis (correct)
- Overhydration
- Elevated body temperature
Which intervention is most important to manage a sickle cell crisis?
Which intervention is most important to manage a sickle cell crisis?
- Administration of oxygen (correct)
- Limiting pain medication
- Restriction of fluids
- Discouraging physical activity
Which of the following is a known trigger for sickle cell crises?
Which of the following is a known trigger for sickle cell crises?
- Low stress levels
- Dehydration (correct)
- Adequate hydration
- Warm temperatures
At what temperature should someone with sickle cell disease seek immediate emergency care?
At what temperature should someone with sickle cell disease seek immediate emergency care?
What is the average lifespan of a sickled red blood cell?
What is the average lifespan of a sickled red blood cell?
Flashcards
Sickle Cell Crisis
Sickle Cell Crisis
Severe, acute pain caused by vaso-occlusion in sickle cell disease, leading to tissue hypoxia and necrosis.
Pain Management in Sickle Cell Crisis
Pain Management in Sickle Cell Crisis
PCA, IV medications, oral meds, then PRN
Initial Interventions for Sickle Cell Crisis
Initial Interventions for Sickle Cell Crisis
Oxygen and IV fluids.
Sickle Cell Crisis Triggers
Sickle Cell Crisis Triggers
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When to Seek Emergency Care (Sickle Cell)
When to Seek Emergency Care (Sickle Cell)
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Study Notes
- Sickle Cell Disease causes severe acute pain due to vaso-occlusion, leading to tissue hypoxia and necrosis.
Crisis Interventions
- Manage pain using PCA, IV, oral medications, and PRN before discharge.
- Administer oxygen.
- Provide IV fluids to prevent further RBC clumping.
Education
- Avoid triggers such as dehydration, high altitudes, cold or extreme temperatures, stress, illness, excessive exercise, and hypoxia.
- Seek emergency care for temperatures at or above 38°C (100.4°F).
- Prophylactic penicillin may be needed before dental procedures.
- Avoid immunizations against HIV, pneumococcal, and meningococcal infections.
- Wear a medical ID band.
- Avoid contact sports.
Additional Information
- The lifespan of a sickle-shaped RBC is 15-20 days.
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Description
Sickle Cell Disease causes acute pain. Interventions include pain management, oxygen administration, and IV fluids. Patients should avoid triggers, seek emergency care for fever, and understand prophylactic penicillin before dental procedures.
