differential diagnosis should be included because it affects a single or multiple joint. Patients with this disease presents with swollen lymph nodes, joint stiffness and pain, and joint swelling. Juvenile idiopathic rheumatoid arthritis causes redness, swelling, warmth, and soreness in the joints resulting in limited mobility of the affected joint (Spiegel, Kristensen, &Herlin, 2015).In SCD, the spleen doesn’t work properly or doesn’t work at all. This problem makes people with SCD more likely to get severe infections. What is the treatment for Miah andeducation for the family?
In children with sickle cell disease, the spleen does not work properly or does not work at all. In this patient, she was noted with splenomegaly. The spleen is important in fighting infection by filtering germs out of the blood. In children with sickle cell disease, the function of the spleen is impaired. This makes the child more susceptible to infections. Sickle cell disease impairs blood flow through the spleen causing the spleen to get bigger and causes the blood count to drop. A spleen crisis is life threatening to children with sickle cell disease. Repeated sickling and ongoing hemolytic anemia can lead to parenchymal injury and chronic organ damage leading to increase morbidity and mortality (Ware, de Montalembert, Tshilolo, & Abboud, 2017)It is important to setup a treatment plan for Miah and educate her mother about her care. It is important to educate the mother to keep the patient adequately hydrated and providerelief of pain. It is important to monitor the patient for signs of acute chest syndrome and respiratory distress syndrome. Miah will be admitted in the hospital and administered intravenous fluid for hydration. Miah will be started on Ketorolac intravenous 0.25mg/kg every 6 hours and intravenous morphine 0.1 mg/kg every 2-4 hours as needed for pain relief.
You've reached the end of your free preview.
Want to read all 4 pages?
- Summer '17
- Sickle-cell disease, MIAH, NSG6435 Week 5 Discussion