Sickle Cell Crisis question - page 3

Without giving too much info, I just need to know if I could have/should have handled this situation better. Pt came in with sickle cell crisis. Morphine ordered 10mg IV Q3H PRN pain. Also had a... Read More

  1. by   renerian
    If I had a bad sickler I always moved the cart near their room.

    renerian
  2. by   memphispanda
    Ok, so today if I had the same patient I would handle it a bit differently! However to go back and clarify a few things that have been left out...
    I put the simple facemask on him first because it was right there in the room, and we better than the nasal cannula that he had been using. Got a non-rebreather on him a few minutes later. Got him transferred about 20 minutes after the episode started.
  3. by   Gompers
    Quote from memphispanda
    I put the simple facemask on him first because it was right there in the room, and we better than the nasal cannula that he had been using. Got a non-rebreather on him a few minutes later. Got him transferred about 20 minutes after the episode started.
    Sounds to me like you did everything right.

    Just wondering (as I work ICU and not floor) why patients in SS crisis, on oxygen, aren't on continuous pulse oximetry? Between the possibility of oversedation causing respiratory distress, and changing oxygen needs, why are they just on spot checks?
  4. by   memphispanda
    We don't have continuous O2 sat monitors available on the regular floors. IMO he shouldn't have been put on a regular floor at all, he should have been on the "step-down" floor where continuous monitoring is available. However I also know that you have to rely on your eyes and ears as much as or more than the monitors.
  5. by   hospicemom
    I would have as well done 15L NRB, until sats climbed......28% is scary.

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