Sickle Cell Anemia Crisis: Difference between revisions
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* Keep patient as quiet as possible to minimize OXYGEN needs. | * Keep patient as quiet as possible to minimize OXYGEN needs. | ||
* Administer a fluid bolus of 200 - 300 ml. Continue IV infusion KVO. | * Administer a fluid bolus of 200 - 300 ml. Continue IV infusion KVO. | ||
* If wheezing present, [[ | * If wheezing present, [[Albuterol|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. | * 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) | * Get good History. Refer to [[Analgesia and Sedation|ANALGESIA/SEDATION PRACTICE PARAMETER]] (2.04) | ||
Revision as of 12:48, 24 April 2020
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 CARE (2.01) - Provide 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, ALBUTEROL (PROVENTIL) 2.5 mg via updraft. Monitor heart rate.
- If the patient is exhibiting altered mental status, consider endotracheal intubation and ventilate with OXYGEN at 100% via BVM.
- Get good History. Refer to ANALGESIA/SEDATION PRACTICE PARAMETER (2.04)
- Refer to 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.