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MZ MZ
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6 years ago
A school-age child is admitted in vaso-occlusive sickle cell crisis. The child's care should include:
 
  a. Correction of acidosis.
  b. Adequate hydration and pain management.
  c. Pain management and administration of heparin.
  d. Adequate oxygenation and replacement of factor VIII.
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#1
6 years ago
ANS: B
The management of crises includes adequate hydration, minimizing energy expenditures, pain management, electrolyte replacement, and blood component therapy if indicated. The acidosis will be corrected as the crisis is treated. Heparin and factor VIII are not indicated in the treatment of vaso-occlusive sickle cell crisis. Oxygen may prevent further sickling, but it is not effective in reversing sickling because it cannot reach the clogged blood vessels.
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