MANAGEMENT OF SICKLE CELL DISORDER





In management of Sickle Cell Crisis, a good history about the disorder is required also, regular physical examination is required vis-à-vis investigations and diagnosis. More so, precipitating factors should be avoided and treated promptly. It should be known that acute painful attacks require supportive therapy with intravenous fluids adequate analgesics like NSAIDs or opioid analgesics. Also, sickle-cells crisis requires strong analgesics usually narcotics, morphine is the drug of choice.
Also, exploring the following can help in the management of sickle cell crisis. These include; Non pharmacological: massaging, warm application, bed rest, bandaging, bed rest and cognitive behavioral therapy

Prophylaxis: folic acid, penicillin and proguanil daily as well as taking plenty water and avoiding exposure to precipitating factors.
It is also important to know that “The safest blood transfusion is NO transfusion” (Shamsu Abdullahi Dangulbi) Transfusion is only done if it is clearly indicated as in acute chest syndrome, splenic sequestration, pregnant or pre-operative sickle cell patients.


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