View source for Sickle Cell Anemia Crisis

== Section 5 -MEDICAL ==
=== 5.14 SICKLE CELL ANEMIA CRISIS ===

'''POSSIBLE SIGNS AND SYMPTOMS:'''
* Severe dyspnea.
* Severe pain secondary to hypoxia or vaso-occlusive disease process.
* Pain may include any large muscle mass.


[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01) - Provide [[Medical Gases|OXYGEN]] or assist ventilations as appropriate for patient condition.
* Draw blood tubes, if available.
* Keep patient as quiet as possible to minimize OXYGEN needs.
* Administer a fluid bolus of 200 - 300 ml. Continue IV infusion KVO.
* If wheezing present, [[Bronchodilators|ALBUTEROL (PROVENTIL)]] 2.5 mg via updraft. Monitor heart rate.
* If the patient is exhibiting altered mental status, consider [[Intubation Endotracheal|endotracheal intubation]] and ventilate with [[Medical Gases|OXYGEN]] at 100% via BVM.
* Get good History. Refer to [[Analgesia and Sedation|ANALGESIA/SEDATION PRACTICE PARAMETER]] (2.04)
* Refer to [[Chest Pain Acute Coronary Syndrome|CHEST PAIN/ACUTE CORONARY SYNDROME PRACTICE PARAMETER]] (4.01) for any Symptoms, Chief Complaint, or 12 Lead Diagnostic ECG evaluation that suggests angina / myocardial infarction.

[[Category:Medical|0514]]