SICKLE CELL CRISIS: Oxygen or Fluids??

Students NCLEX

Published

Which one do you do first? I have done a couple of questions and some books say fluids others say oxygen. I'd like to know which one the NCLEX people want. Any input is appreciated. Thank you.

kaplan states Fluids as dehydration promotes the crisis!!! fairly certain when they say fluids, it is NOT beer!! So if u see beer as one of the answers, i can 100%% say do not select beer!!!

Specializes in Urology, Nephology, Internal Medicine.

Only one will reverse the cause. Fluids which cause hemodilution so that the sickled cells do not clump together. 02 treats symptoms. Fluids treat the cause this is first.

Specializes in Ortho/Neuro/MedSurg.

I actually just came across this question today. I believe that hydration is the priority. O2 prevents further sickling, but hydration stops the sickling process altogether by causing hemodilution.

Can we all agree beer isnt the right answer?? But fluids is??

Beer...depends on the kind. But really I hear fluids is correct like everyone else. Suppose they put treat pain as an option? What's the more important one, pain treatment, or fluids?

BabyLady, BSN, RN

2,300 Posts

Specializes in NICU, Post-partum.
Can we all agree beer isnt the right answer?? But fluids is??

Alcohol DEHYDRATES the body.

It works as a diuretic....products that contain caffeine do the same thing.

So pick a drink that would hydrate.

Pain is the priority....b/c STRESS can be a trigger to the sickling...you give pain relief, then O2.

Remember...the O2 is not because someone cannot breathe...it's to decrease the sickling...from my understanding a sickle-cell crisis is excruciating as far as pain...some have been known to commit suicide.

The O2 will take to long to reach relief...that is why if given the choice between O2 and Pain..you pick pain as priority.

It's another exception to the ABC's.

SiempreBella

56 Posts

I have never seen beer as one of the choices. Only oxygen or fluids.

SiempreBella

56 Posts

Only one will reverse the cause. Fluids which cause hemodilution so that the sickled cells do not clump together. 02 treats symptoms. Fluids treat the cause this is first.

This makes sense!:up:

SiempreBella

56 Posts

I do not think it's pain relief. If you unclump the sickled cells by giving fluids there wouldn't be any pain.

I think they were kidding about the beer, I know I was when I said it depended on the kind. But suppose you have the choice of Fluids or pain relief...

lol, yes I was KIDDING about the beer!! Fluids is the answer!! But read the question on the exam!!

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