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1533: Comfort Sickle Cell Anemia
Terms in this set (15)
What causes the severe pain in a pt with sickle cell crisis?
Tissue ischemia due to lack of oxygenation to the tissues
What psychological effect typically pairs with sickle cell anemia?
Anxiety, living in fear of another crisis, fear of the pain
Why is inflammation a response to sickle cell anemia?
The prostaglandins are released when the blood cells get blocked and tissues become ischemic, they come to fix the problem, but add to it because there is a traffic jam in the capillaries
What physical assessments should you perform on a pt with sickle cell?
Full! All organs need oxygen, and over time, the effects of the sickled RBC can cause failure to any of the organs, as can a clot
Why is morphine recommended for a pt in sickle cell crisis?
A crisis is extremely painful, and morphine decreases the demand for oxygen
At what systolic do the kidneys stop producing urine?
Due to possible kidney damage, what is important to remember about sickle cell pts and pain medication?
They may require a lot more, at higher doses
What does allodynia mean?
Pain with stimulus that does not normally cause pain. (light touch)
What does the brain think about neuropathic pain?
It is more painful than it is
Why would hematocrit be higher on a pt with sickle cell?
pt is dehydrated and damaged RBC
Why would a pt with sickle cell crisis be rx antibiotics?
prophylaxis. Pt's RBC are not working properly, their immune system wont be working properly
What are the 3 most important nursing interventions?
Pain, oxygenation, hydration
Other than distraction, what is another non-pharmacological aide to help children in pain?
Why do pts with sickle cell have poor temperature control?
What NSAID should be used with caution on a pt with sickle cell?
Ibuprofen bc it is hard on kidneys, and pts with sickle cell may have damaged kidneys
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