Children Birthday Parties

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

TREATMENT OF FEVER WITH OR WITHOUT CHILDREN vaso-occlusive crisis:
• Search infectious outbreak
- Paraclinical: CBC with corpuscular indices, reticulocytes, ESR, Rx of thorax, culture (blood culture, urine culture)
• Antiobioticos: start taking antibiotics prior to culture with ceftriaxone 100mg/k/dia
• Crisis associated
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