child health

Question 1

During a vaso-occlusive crisis (VOC),

Answer 1

maintain
bed rest to reduce oxygen demand, give IV fluids
to improve perfusion, and administer high-dose
analgesics.

Question 2

When treating a painful VOC,

Answer 2

avoid cold compresses,
which cause vasoconstriction, and meperidine,
which can induce seizures in clients with SCD.

Question 3

If VOC pain persists after analgesics have taken
effect,

Answer 3

notify the HCP, as additional pain medication
may be needed (PCA pump, around-the-clock
dosing).

Question 4

Teach caregivers to report signs

Answer 4

of acute chest
syndrome or severe infection, such as chest pain or
high fever ≥101.3 F (38.5 C).

Question 5

To prevent sickle cell crises,

Answer 5

the client should hydrate frequently, take breaks during physical activity, and avoid extreme temperatures.