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Sickle Cell Anemia Management Guide

The document provides information on managing sickle cell anemia including: - Nursing assessments would include family history, reports of pain/crisis and monitoring vital signs, pain levels, and lab results. - Vaso-occlusive crises present with severe pain and other acute symptoms while chronic complications include organ damage. - Nursing care focuses on pain management, oxygen therapy, hydration, infection prevention, and monitoring for complications. - Client education covers signs of crisis, importance of rest/nutrition, medication management, and genetic counseling.

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759 views2 pages

Sickle Cell Anemia Management Guide

The document provides information on managing sickle cell anemia including: - Nursing assessments would include family history, reports of pain/crisis and monitoring vital signs, pain levels, and lab results. - Vaso-occlusive crises present with severe pain and other acute symptoms while chronic complications include organ damage. - Nursing care focuses on pain management, oxygen therapy, hydration, infection prevention, and monitoring for complications. - Client education covers signs of crisis, importance of rest/nutrition, medication management, and genetic counseling.

Uploaded by

Loggerz Arck
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Concept Map: Sickle Cell Anemia Management

Subjective and Objective Data Client Education


List 3 Things for Which the Nurse Would Assess/Monitor Care After Discharge - List 3
Teaching/Reinforcement
Items to be Instructed

Vaso-Occlusive Crisis Nursing Care


List 3 Manifestations for Each, Acute and Chronic Conditions List 3 Nursing Actions
Acute Conditions Chronic Conditions

Pain Management Laboratory Tests


List the Medications That List the 3 Labs Tests That Will be Done
Should be Used for Pain

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Concept Map: Sickle Cell Anemia Management
Subjective and Objective Data Client Education
List 3 Things for Which the Nurse Would Assess/Monitor Care After Discharge - List 3
Teaching/Reinforcement
• Impaired healing, • Family history of sickle cell • Lethargy, irritability, and • Systolic heart murmur Items to be Instructed
loss of skin anemia or sickle cell trait muscle weakness and heart failure
elasticity, and • Reports of pain, crisis, and • Abdominal pain, nausea, • Shortness of
thinning of hair management vomiting, and loss of appetite breath/fatigue • Provide emotional support,
• Tachycardia • Pallor or jaundice • Nail bed deformities and refer to social services
• Low-grade fever
if appropriate.
• Instruct in signs and
Vaso-Occlusive Crisis Nursing Care symptoms of crisis and
List 3 Manifestations for Each, Acute and Chronic Conditions List 3 Nursing Actions infection.
• Advise the family of the
Acute Conditions Chronic Conditions • Promote rest to importance of promoting
• Severe pain, • Swollen joints, • Increased risk of • Systolic murmurs decrease oxygen rest and adequate nutrition
usually in hands, and feet respiratory • Renal failure and consumption of the for the child.
bones, joints, • Hematuria infections and/or enuresis tissue • Encourage the child and
and abdomen • Obstructive osteomyelitis • Liver failure • Administer oxygen as family to maintain good
• Anorexia, jaundice • Retinal • Seizures prescribed if hypoxia hand hygiene and avoid
vomiting, and • Visual detachment and • Deformities of is present individuals with
fever disturbances blindness the skeleton • Maintain fluid and colds/infection/viruses.
electrolyte balance • Give specific directions
Pain Management Laboratory Tests • Administer/monitor regarding fluid intake
List the Medications That List the 3 Labs Tests That Will be Done blood products (RBCs) requirements, such as how
Should be Used for Pain • Observe for signs of many bottles or glasses of
• CBC to detect anemia hypervolemia and fluid should be consumed
• Treat mild to moderate pain with • Hgb electrophoresis – Separates the transfusion reaction daily.
acetaminophen or ibuprofen various forms of Hgb and is the • Treat and prevent • Provide information about
• Manage severe pain with opioid definitive diagnosis of sickle cell anemia infection genetic counseling.
analgesics; Administer orally or • Sickledex (sickle solubility test) – A • Monitor and report • Encourage maintenance of
by IV route screening tool that will detect the laboratory results up-to-date immunizations.
• Apply comfort measures, such as presence of HbS but will not • Encourage passive • Advise the child to wear a
warm packs to painful joints differentiate the trait from the disease. range –of – motion medical identification
exercises to prevent wristband or medical
venous stasis identification tags.

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