Medical and Health Project

Treating children with vaso-occlusive crisis
A. GENERAL
• Hydration: On average applies 2000cc/m2/24horas of intravenous fluids more electrolyte-free intake by mouth.
• Analgesics
- Acetaminophen: 20 mg / kg / dose every 4-6 hours per hour VO
- Tramal: 1-2 mg / kg / dose IV every 6 hours for hours, alone in crisis
unrelieved painful to acetaminophen or ibuprofen
- Ibuprofen: 5-10 mg / kg / dose every 6 hours VO
• transfusion:
Sequestration crisis
Aplastic crisis
Cor anemic
A.C.V. ischemic
Pneumonia + Hypoxia
vaso-occlusive crises not responding to treatment
Prior to any surgical procedure
Prevention A.C.V. ischemic
Chronic lung or heart failure
Prolonged hematuria
Recurrent Priapism
Pregnancy complicated

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