Sickle cell disease

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Question

Aiden, a 3-year-old African -American boy with sickle cell disease is being admitted to the pediatric unit. He has had a runny nose, slight fever, and vomiting over the past 2 to 3 days. He has not been eating well and is complaining of pain in the right leg and refusing to walk. On assessment you find his vital signs to be temperature 101.7°F, pulse 132, respirations 32, and blood pressure 88/52. He is coughing, he has slightly dusky mucous membranes, and his capillary refill is 4 seconds. His father is at the bedside.

What additional assessments are needed?

How can the nurse best assess Aiden's pain?

What are the treatment priorities?

How do you involve and assist the father?

What pharmacologic treatments are used during sickle cell crisis?

What are some non-pharmacologic pain management strategies that could be used with Aiden?

Prior to discharge, what teaching should the nurse provide for the family?

Reference no: EM133845320

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