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Unformatted text preview: aspiration. Aspirin is not given to young children and would not be given to a child with a bleeding disorder because of its effects
on platelet aggregation. Seventy-two hours is too long for the joint to be rested, because maintenance of mobility is a primary
concern once the bleeding episode has been arrested.
400. Anemia During vaso-occlusive sickle cell crisis, the care focuses on adequate hydration and pain management. Adequate
hydration with intravenous normal saline and oral fluids maintains blood flow and decreases the severity of the vaso-occlusive
crisis. Analgesics for pain management are necessary during a vaso-occlusive crisis. Splenectomy would not be done with a
vaso-occlusive crisis. Acidosis is not present. Oxygen can be administered to increase tissue perfusion, but is not the priority
treatment for a vaso-occlusive crisis. Passive range of motion is not recommended; bedrest is prescribed initially.
The vaccination would be given. Mild fever after the DTaP is not uncommon, and the vaccination would not
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This document was uploaded on 03/29/2014.
- Spring '14