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decrease the frequency of pain episodes, transfusion requirements and the risk of acutechest syndrome (Lanzkron, S., 2019). L-glutamine may also be considered in patients olderthan 5 years who cannot take hydroxyurea or those that continue to have pain while on it.Another common treatment option is repeated simple blood transfusion to maintain HbSless than 30 percent (Lanzkron, S., 2019). Other actions that can be taken by Miah’sparents are the use of NSAIDs for mild pain, the use of heating pads, opioids formoderate to severe pain, and antibiotics if there is evidence of infection. If Miahunfortunately continues with severe complications of her sickle cell anemia or if she isunresponsive to all the previously mentioned treatment options, a bone marrow transplantmay be considered.Reference:Committee on Genetics. (2002, March 01). Health Supervision for Children with Sickle CellDisease. Retrieved May 31, 2019, fromDiagnosing Sickle Cell. (n.d.). Retrieved May 31, 2019, fromKent, P., Boyd, K., Michael, J., & Szabo, G. (2019). I-Human: Miah Zavarro. Retrevied fromLanzkron, S. (2019, April). Sickle cell anemia. Retrieved June 1, 2019, from