Dear Nurses

Thursday, July 20, 2006

UNDERSTANDING SICKLING CRISIS

Updated 7/24
Sickle cell anemia is a form of anemia common to certain peoples in areas of the world, like Africa, Caribbean and Mediterranean.The red blood cells are not rounded, but have a sickle shape. Red blood cells carry oxygen and in sickle cell anemia, their ability is limited. In a crisis, the cells clump and occlude the veins, not arteries as these have high pressure.


Conditions such as anxiety , dehydration, infection or trauma may trigger a sickling crisis. Difficulty breathing and excruciating pain are symptoms of a crisis. Treatment is directed at giving oxygen, monitoring vital signs and correcting the cause. Magnesium Sulfate is also used to treat this condition.

What are the warning signs of a blood transfusion reaction?

The nurse should always be aware of the warning signs
of a blood transfusion reaction. These include chills, anxiety,
flushing, itching , shortness of breath and chest pain.

Learn more about : Blood transfusion

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