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

Privacy Policy | Terms of Use

 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.

Privacy Policy | Terms of Use