For NCLEX standards?

Rookmini, MSN · Aug 8, 2011

Both are really important, but just going with the ABCs, I'll say Oxygen.

Someone else asked this question.

https://allnurses.com/nclex-discussion-forum/sickle-cell-crisis-410226.html

Musvette,BSN,RN · Aug 8, 2011

hopeishere, thank you for your feedback... :) i was leaning towards O2 to.. this clears my doubt... :)

Rach10388 · Aug 8, 2011

Fluid comes first... then o2, pain medication, and rest

their rbcs are sickling. you HAVE to get fluids in there

j5676c · Aug 8, 2011

Fluid comes first... then o2, pain medication, and rest
their rbcs are sickling. you HAVE to get fluids in there

i agree. fluids first.

Iammblessed2011 · Aug 8, 2011

Yes fluid first! I came across this question several times in different study materials and the answer has always been fluid first..

Good luck to us :)

joe17 · Aug 9, 2011

guys, have a question? if you can help me out on this...
what is the priority for a patient unders sickle cell crisis?
fluid resuscitation or oxygen administration?
some book say fluid some say o2? so in nclex standards? which is which? and why?
thanls guys for any reply on this...

i think fluid due to sickling.....once fluid is restored sickiling is solve dyspnea is relieved so i think fluid is the best choice.

shescoolie · Aug 9, 2011

I had a question like this in my kaplan qbank and the answer was fluids. I believe the idea is what good is it to give O2 to rbc that have clumped together occluding blood flow the the affected body part. Even if you gave O2, it wouldn't get there because the rbcs can't flow freely to the area to deliver O2. Additionally, the pain from the crisis is a direct result of the occlusion, so you treat the cause of the occlusion> hence IVF> decrease pain and deliver O2 more effectively. Hope that makes sense

Rach10388 · Aug 9, 2011

Bingo!

thecool1Nscrubs2no · Aug 9, 2011

FLUIDS FOR THAT SICKEL CELL PATIENT PLEASE...REMEMBER THE EFFECTS THAT LACK OF HYDRATION HAVE ON RBC'S. O2 IS IMPORTANT BUT HYDRATION FIRST.

TO HAVE THE BEST CHANCE OF PASSING KNOW YOUR CORE CONTENT such as med surg, renal, endo, resp, GI, GU, cardio, dieases, labs, delegation, priority, study select all that apply ...LOOK AT THE NEW FORMAT FOR THE 2011 NCSBN. MED SURG IS THE BACK BONE SINCE THERE IS SOMETHING GOING ON IN ALL THE QUESTIONS. Touch over ob/and peds(complications). DON'T STUDY STUFF YOU KNOW WELL...THAT IS WASTING YOUR STUDY TIME. Its up to you as the nurse to attack the questions direct. USE THE SAUNDERS BOOK WITH THE CD if you don't have something already. Go over the sections and do 60 questions a day from each body system. Read the sections in the saunders helps to fill in the grey areas along with the cd. Talk out your concepts aloud to get them in your head so you can pull them back up when you take your exam. Know basic pharm tie that in with disease can help you remember it better...same goes for labs. Remember just because you have a nurse floating to the floor with 10 yrs exp....she or he stills needs the most stable patient. RN can only do teaching so remember that when you look at discharge and admissions....in the nclex hospital. NO GOOD QUESTIONS on NCLEX(SOMETHING HAPPENING IN ALL OF THEM)....PROBLEMS YOU NEED TO FIX. READ CAREFUL, LOOK FOR KEYWORDS. THINK WHAT IS THE BEST, SAFE, AND WILL CORRECT THE PROBLEM WHEN YOU ATTACK THE QUESTION. Remember we want to correct a problem in the early signs of distress or whatever before they get to the point of the might not make it phase. THEY ARE LOOKING FOR NURSES THAT WILL HELP THE PATIENTS, PROTECT THEMSELVES AND THE PUBLIC.....ALONG WITH LOOK FOR ABUSE. Becareful with labs just because its wnl of the high or low...red flag for new nurses. Goal is to get as many questions right on that exam as you can. Look for keywords read the questions slow. THE SAME WAY YOU MISSED TEST QUESTIONS IN SCHOOL BECAUSE YOU READ THE QUESTIONS TO FAST...CAN HAPPEN HERE SO READ SLOW. DON'T GIVE YOUR ANSWERS AWAYS BECAUSE YOU ARE READING TO FAST....SLOW IT DOWN ON THIS. Ask yourself does my choice make sense....and if so WHY...KNOW THE WHY TO YOUR RIGHT ANSWERS AND THE WRONGS...OR WHAT MADE THEM WRONG . SO REVEIW RATIONALS WHILE YOU PRACTICE FOR YOU EXAM. It often helps you get other key pieces in your head. KEEP POSITIVE, KEEP FOCUSED. You can do it. Also look at select all that apply questions. Hurst review is nice too.

caliotter3 · Aug 9, 2011

This one comes up quite often here but do not know if anyone ever found it on their NCLEX.

Musvette,BSN,RN · Aug 22, 2011

hello guys,

yup I encountered this on a kaplan q bank recently and it did say fluid too... So i guess that's the winner