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Sickle Cell Anemia

NUR 1230 Amber Bayliff
by

Amber Bayliff

on 11 September 2013

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Transcript of Sickle Cell Anemia

Sickle Cell Disease in Children
Who it affects
What is Sickle Cell Disease?
"Sickle cell disease is an inherited blood disorder where the red blood cells are abnormally shaped."
"The abnormality in the red blood cells can result in painful episodes, serious infections, chronic anemia, and damage to body organs."
"When two genes of sickle hemoglobin are inherited, one from each parents."
Instead of normal round healthy RBC’s they have C-shaped sticky and sometimes stiff RBC’s causing many problems.

The Cause
Anemia and pain are the most common symptoms
Pallor than normal skin
Jaundice
Coldness in the hands and feet
Symptoms
"Early identification of infants with sickle cell disease by newborn screening, now universal in all 50 states in the US"
Children
"Most children are diagnosed very early on because of this screening."
Risk Factors
Living with Sickle Cell Disease...
Usually feel pain in their stomach, chest and bones
Hand and Foot Syndrome
Acute Chest Syndrome
Infections
Blood tests are done on children to determine the type of hemoglobin in their RBC's
Diagnostic Test
Multiple organ failure
Penicillin is used to prevent infection.
Treatments
"Hydroxyurea, decreases the number and frequency of painful crises"
Tylenol
Ibuprofen
Blood Transfusions
"Up to age 2, children with sickle cell disease should see a doctor every two or three months."

The child should have an ultrasound scan of the head once a year to check on the blood flow to the brain.

"The monitoring of growth and nutritional status in children is an essential requirement for comprehensive care"
Provide child with comfort
Assist with ambulation
Assess pain, skin, BP, pulse and respiration before and after med administration.

Nursing Care
Teaching
"Sickle Cell is more common in African Americans and children from South or Central America, India and the Mediterranean descent."
"Poor growth and under-nutrition are common in children"
Full transcript