Buy this article for $7.95

Have a coupon or promotional code? Enter it here:

When you buy this article you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.

Source:

Nursing2015

December 2002, Volume 32 Number 12 , p 32hn1 - 32hn7

Authors

  • ALLAN PLATT PA, C
  • JOANN BEASLEY RN
  • GAYNELL MILLER RN
  • JAMES R. ECKMAN MD

Abstract

Outline

  • Abstract

  • Faulty hemoglobin

  • Assessing your patient

  • Combating multiple problems

  • Managing pain.

  • Providing hydration.

  • Administering oxygen.

  • Administering transfusions.

  • Managing complications.

  • Carrying out the care plan

  • Getting ready for discharge

  • Crisis resolved

  • Beware of these complications

  • Medications to manage the pain

  • SELECTED WEB SITES

  • SELECTED REFERENCES

  • Abstract

    Learn the complex problems this disease triggers and how to support your patient during a crisis.

    Sterling Jackson, 21, who has a history of sickle-cell anemia, is admitted to the medical/surgical unit from the emergency department (ED). He developed severe pain in his chest, arms, legs, and back about 10 hours ago. After 4 hours receiving intravenous (I.V.) nalbuphine (Nubain), ketorolac (Toradol), and hydration in the ED, he still rates his pain as 6 on a visual analogue scale, and his blood work shows worsening anemia from his baseline level.

    The most common genetic disorder in the United States, sickle-cell disease affects about 70,000 people. Although most common in African-Americans, it also affects people whose ancestors came from parts of the world where malaria is endemic. Having one sickle-cell gene (known as sickle-cell trait) provides some protection against malaria, but having two causes sickle-cell disease.

    Years ago, people with sickle-cell disease died in their teens. Today, with improved education and treatment, some live into their 60s, but they're susceptible to sickle-cell crises all their lives. In this article, we'll explain what's causing Mr. Jackson's problems and how you can help him through the crisis.

    Faulty hemoglobin ...

    To continue reading, buy this article for just $7.95.

    Have a coupon or promotional code? Enter it here: