Sickle Cell Anemia Crisis
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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.
