# Sickle Cell Crises – Plan
-Pain control with PCA (loading 0.3, basal 0.1, bolus 0.3, 4-hour lockout 4 mg) -Lidocaine patch -Heating Pad -Continue home medications: -Ibuprofen 800 tid -MS Contin 90 q8h -Oxycodone 30 q4h -Robaxin 750 q8h -Cymbalta 60 -Folic acid -Hydroxyurea 1500 - Start 5 1/2NS for 1L @ 100 cc/hr - Continuous Pulse Ox - will start o2 therapy if o2 sat drops below 92 - Incentive spirometry - Telemetry - Miralax for bowel regimen, zofran prn for nausea - CBC and RFP daily - Will plan to discharge when ready with close follow up with Dr. Anim and pain specialist
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