Sickle cell crisis
From IDWiki
Etiology
- Vasoocclusive
- Hemolytic
- Aplastic (Parvovirus)
- Splenic sequestration (only before asplenia)
Pain crisis
Acute stroke
- Monitor, IV, O2 to maintain > 95%
- Aspirin, but in general not anticoagulation or thrombolysis
- IV hydration at 1.25-1.5 times maintenance
- Transfuse to Hb > 100 g/L
- Then, exchange transfusion to decrease HbS concentration to below 20%
