167 anemia pain crisis may be precipitated by

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Unformatted text preview: develop. A heating pad is not applied to the cast or fingers. Cold fingers could indicate neurovascular impairment and the physician should be notified. 167. Anemia Pain crisis may be precipitated by infection, dehydration, hypoxia, trauma, or physical or emotional stress. The mother of a child with sickle cell disease should encourage fluid intake of 1½ to 2 times the daily requirement to prevent dehydration. 168. Anemia The results of a complete blood cell count in children with iron deficiency anemia will show decreased hemoglobin levels and microcytic and hypochromic red blood cells. The red blood cell count is decreased. The reticulocyte count is usually normal or slightly elevated. 169. Anemia An oral iron supplement should be administered through a straw or medicine dropper placed at the back of the mouth because the iron will stain the teeth. The parents should be instructed to brush or wipe the child¶s teeth after administration. Iron is administered between meals because absorption is decreased if there is food in the st...
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