Sickle Cell Anemia Crisis

Section 5 -MEDICAL

5.14 SICKLE CELL ANEMIA CRISIS

POSSIBLE SIGNS AND SYMPTOMS:

• Severe dyspnea.
• Severe pain secondary to hypoxia or vaso-occlusive disease process.
• Pain may include any large muscle mass.

INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist ventilations as appropriate for patient condition.

• Draw blood tubes, if available.
• Keep patient as quiet as possible to minimize OXYGEN needs.
• Administer a fluid bolus of 200 - 300 ml. Continue IV infusion KVO.
• If wheezing present, ALBUTEROL (PROVENTIL) 2.5 mg via updraft. Monitor heart rate.
• If the patient is exhibiting altered mental status, consider endotracheal intubation and ventilate with OXYGEN at 100% via BVM.
• Get good History. Refer to ANALGESIA/SEDATION PRACTICE PARAMETER (2.04)
• Refer to CHEST PAIN/ACUTE CORONARY SYNDROME PRACTICE PARAMETER (4.01) for any Symptoms, Chief Complaint, or 12 Lead Diagnostic ECG evaluation that suggests angina / myocardial infarction.