These results, though not powered for inferiority, showed a trend towars increased stroke risk with transition to hydroxyurea.
Objectives Because pain episodes often result in hospital admissions, this article highlights prominent issues that staff nurses need to know. With this knowledge, nurses will be better equipped to provide the appropriate and timely care required to manage pain crises experienced by individuals living with SCD.
Data showed that hydroxyurea at maximal tolerated dose was noninferior to chronic transfusions for maintaining TCD velocities as primary stroke prophylaxis choice C.
Twenty-four hours later, she is discharged. Suspected opioid addiction should not affect the provision of nursing care.
Without treatment, more than half of children with an initial stroke experience repeat events. See Figure 1 for additional evidence-based evaluation and management guidelines. These crises are attributed to many causes that differ for each person and may primarily include sickling of the RBCs, vaso-occlusion, ischemia, infarction, inflammation, and tissue damage Ballas et al.
Findings No objective signs of a sickle cell pain crisis exist.