# Sickle Cell Crises – Plan

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posted 2021-01-18, updated 2023-05-21
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-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
-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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