05-07-2007, 01:33 PM
KETTY ARE YOU THERE
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ccs -hey guys we will do sicle cell crisis - skype
ccs -hey guys we will do sicle cell crisis - skype
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ccs -hey guys we will do sicle cell crisis - skype
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05-07-2007, 02:00 PM
pulse oxi
oxygen Intravenous access Normal saline cardiac monitor blood pressure monitor Iv ketorolac( Morphine) Focused physical examinatiom cbc ua bmp chest x-ray esr lfts reticulocyte count serum Ldh ( May not be needed) serum haptoglobulin(may not be needed) Elecrophoresis( May not be needed if already doagnosed as sickle cell disease) Blood culture urine culture sputum culture( If H/O infection present) cefuroxime Iv+ Azithro IV Interval history pt get stabilised move to ward monitor Cbc and hct look for culture results and change abs based on the results counseling avoid hypoxic situations medication compliance and regular counseling Skype if anything more please add
05-07-2007, 02:19 PM
what is the presenting sympotom??? chest pain or abdo pain or somehting else???
sequestration crisis? aplastic crisis or hyperviscosity crisis??
05-07-2007, 02:23 PM
Pulse ox
oxygen iv access iv NSS Bp monitor cardiac monitor IV ketorolac PE ABG CXR cbc bmp U/A urine culture blood culture sputum culture iv ceftazidime interval h/o admit to ward bed rest u/o Hb electrophoresis (if previously undiagnosed) exchange transfusion (if indicated) CBC every 8 hrs interval h/o if he gets better--discharge after stopping IV stuff... oral penicillin V pneumococcal vaccine HiB vaccine meningococcal vaccine counsel--avoid contact sports (if splenomegaly) Hydroxyurea ( if repeated crisis are mentioned) Genetic counselling pt/parent counseling medication compliance
05-07-2007, 02:29 PM
Pulse ox
oxygen iv access iv normal saline Bp monitor cardiac monitor IV ketorolac Physical exam ABG CXR cbc bmp U/A urine culture blood culture sputum gram stain sputum culture and sensitivity iv ceftazidime interval h/o admit to ward bed rest urine out put Hb electrophoresis if not diagnosed before CBC every 8 hrs bmp X 8 hours interval history if getting worse then exchange transfusion if he gets better--discharge - STOP ALL IV oral penicillin V pneumococcal vaccine influenza vaccine HiB vaccine meningococcal vaccine counsel--avoid contact sports Genetic counselling pt/parent counseling medication compliance if repeated episodes are there then hydroxyurea Please add |
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