The Nurse Learnersguide

Michael Chibale a 13 year old from a well-known sickle cell parent has been brought to your ward in a sickle cell crisis.

a) Explain 4 types of sickle cell crisis

1. HEMOLYTIC CRISIS
This is the type of sickle cell crisis characterized by excessive destruction of malshaped ( sickled) red blood cells by the spleen detected as foreign bodies.

2. VASO OCCLUSION CRISIS
This is the type of sickle cell crisis resulting from lodging of sickle shaped red blood cells into the peripheral or extremity blood vessels,brain,joints blood vessels characterized by severe joint pains, backache, headache.

3. SPLEEN SEQUESTRATION
This is type of sickle cell crisis caused by pooling of defective red blood cells for destruction by the spleen resulting in enlargement of the spleen. This condition is known as hepatomegaly and comes as a result of spleen work overload

4 APLASTIC CRISIS
This is the type of sickle crisis due to bone marrow suppression in response increase productivity of immature red blood cells to compasate destroyed sickled red blood cell.

SPECIFIC NURSING CARE

Looks at managing unique signs and symptoms of a particular condition.

You just pick specific parts of AEPROPHENEMA

Don't lift everything for every condition as your care will become general.