correct answer to Sickle Cell crisis question

[Ms.RN]

the nclex review books are inconsistent with correct answer to sickle cell crisis question.:nono::nono: the question is what do you do first if a patient comes to er with sickle cell crisis? answer to one book is administer iv fluid, another book says correct answer is administer oxygen. so what is the correct answer????????

[NurseEmily22]

I would say fluids because dehydration is what causes the cells to sickle..oxygen is obvi really important too but that is what I'd say...

[Ms.RN]

i would say fluids because dehydration is what causes the cells to sickle..oxygen is obvi really important too but that is what i'd say...

okay, so i'll go with iv fluid :up:

[jo0kgal]

actually i read a very go0d bo0k 0f MOSBY regarding sickle cell crisis.. y0u have t0 cho0se administer 0xygen 0n the 0pti0n if the 0xygen is a n0nrebreather mask because it delivers Fi02 0f 90-100%.. And if y0u have t0 cho0se between administering 0xygen via nasal cannula and IV fluids, g0 with the IV fluids because 02 via nasal cannula 0nly delivers 40% 0f 02..Hope it helps!!

[Ms.RN]

actually i read a very go0d bo0k 0f mosby regarding sickle cell crisis.. y0u have t0 cho0se administer 0xygen 0n the 0pti0n if the 0xygen is a n0nrebreather mask because it delivers fi02 0f 90-100%.. and if y0u have t0 cho0se between administering 0xygen via nasal cannula and iv fluids, g0 with the iv fluids because 02 via nasal cannula 0nly delivers 40% 0f 02..hope it helps!!

kk.. thanks millions :bow::bow::bow::bow::bow:

[bookworm1]

definately IV fluids! Think about the nature of the disease. (what good is O2 when the body doesn't have the capacity to carry it?) This is one of my favorite websites to inform people what to watch for (and why) http://www.scinfo.org/faqdisease.htm

Also, dehydration is the most common preventable cause of an episode.

[pagandeva2000, LPN]

I would also say IV fluids first.

[Ms.Rosewood2003]

Hey, here a quick way to remember nursing interventions to sickle cell I was taught in nursing school...

"HOP to it"

H-hydrate

O-oxygenate

P-pain Management

Small things like this will help you recall content when taking to NCLEX

[BORI-BSNRN, BSN, RN]

Hey, here a quick way to remember nursing interventions to sickle cell I was taught in nursing school...

"HOP to it"

H-hydrate

O-oxygenate

P-pain Management

Small things like this will help you recall content when taking to NCLEX

Thanks Ms.Rosewood it's very good to remember it.

[ohmeowzer RN, RN]

ooh i like HOP.. thank you !!

[KellNY, RN]

Also, IV fluids for someone in a SC crisis (especially children) could help prevent a stroke. When somoene is dehydrated, the blood is thicker, increasing the chances of those deformed cells clumping together and forming a blockage or embolus.

Love the HOP thing too!

[Leilah75_RN]

i have encountered hundreds of sickle cell anemic clients way back in SAudi years, if the client doesnt have problems with breathing, and o2 sats reading is normal, the priority of care is IV fluids. next is O2 or pain killers. Management depends on client's status.