Care of the child with sickle cell disease: acute complications

L D Jakubik1, M Thompson

  • 1Department of Nursing, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Pediatric Nursing
|May 25, 2002
PubMed

Insights

Sickle cell disease (SCD) management in children requires nurses to understand its genetic basis and complications. Prompt treatment and preventative measures are vital for avoiding severe outcomes and improving patient care.

Area of Science:

  • Hematology
  • Genetics
  • Pediatrics

Background:

  • Sickle cell disease (SCD) is a group of inherited blood disorders.
  • It is characterized by abnormal hemoglobin S, leading to various complications.
  • Common acute issues in children include pain episodes, fever, and spleen complications.

Purpose of the Study:

  • To highlight the critical role of staff nurses in managing pediatric SCD.
  • To emphasize the importance of understanding SCD pathophysiology for effective care.
  • To underscore the need for knowledge in genetics, pathophysiology, and management strategies.

Main Methods:

  • Review of SCD pathophysiology, including vaso-occlusion, hemolysis, and immune system involvement.
  • Discussion of common acute complications and their management.
  • Emphasis on nursing interventions and patient/family education.

Main Results:

  • Nurses play a key role in prompt treatment and prevention of adverse SCD outcomes.
  • Understanding basic science (genetics, pathophysiology) is essential for effective nursing care.
  • Knowledge of medical and nursing management, plus education materials, is crucial.

Conclusions:

  • Nurses require comprehensive knowledge of SCD to provide optimal care for affected children.
  • Effective management involves understanding the disease's genetic and pathophysiological basis.
  • Preventative measures and patient education are integral to improving clinical outcomes in pediatric SCD.

Related Concept Videos

Acute Respiratory Failure-III01:30

Acute Respiratory Failure-III

Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without causing...
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
Complications of Diabetes Mellitus01:22

Complications of Diabetes Mellitus

Diabetes mellitus is a chronic metabolic disorder characterized by persistent hyperglycemia due to insulin deficiency, resistance, or both. Prolonged hyperglycemia disrupts metabolic homeostasis and leads to acute and chronic complications.Acute ComplicationsAcute complications result from sudden metabolic imbalance.Diabetic ketoacidosis (DKA) mainly appears in type 1 diabetes but may also develop in type 2 diabetes, particularly under extreme stress. It arises from severe insulin deficiency,...