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Sickle Cell Anemia In Children
WHAT YOU NEED TO KNOW:
Sickle cell anemia is a disease that causes red blood cells (RBCs) to be sickle (crescent) shaped instead of round. This causes your child's body to break down the RBCs faster than usual. RBCs carry oxygen to all the organs and tissues. When RBCs break down faster than usual, less oxygen reaches your child's body. Sickle cell anemia is a serious form of sickle cell disease. Your child's risk increases if both his parents have the gene for sickle cell anemia. Your child's healthcare provider can confirm your child has sickle cell anemia with a blood test.
WHILE YOU ARE HERE:
is a legal document that explains the tests, treatments, or procedures that your child may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your child's medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done to your child. Make sure all of your questions are answered.
Stay with your child for comfort and support as often as possible while he is in the hospital. Ask another family member or someone close to the family to stay with your child when you cannot be there. Bring items from home that will comfort your child, such as a favorite blanket or toy.
Intake and output:
Your child's healthcare providers may need to measure how much liquid your child is drinking. They may also need to measure his urine. Your child may need to urinate into a container. If your child wears diapers, save them so a healthcare provider can weigh them. Do not throw away diapers or flush your child's urine down the toilet before asking your child's healthcare provider. Healthcare providers may also weigh your child every day.
Your child may need extra oxygen if his blood oxygen level is lower than it should be. He may get oxygen through a mask placed over his nose and mouth or through small tubes placed in his nostrils. Ask before you take off the mask or oxygen tubing.
- Pain medicine may be given. Do not wait until your child's pain is severe before you ask for more medicine.
- Antibiotics treat or prevent a bacterial infection.
- Hydroxyurea helps your child's body make red blood cells that are less likely to sickle. This may help decrease his pain.
- Bronchodilators help your child breathe more easily.
An x-ray, ultrasound, or MRI may show if sickle cell anemia has affected your child's blood vessels or organs. Your child may be given contrast liquid to help healthcare providers see his blood vessels or organs better. Tell the healthcare provider if your child has ever had an allergic reaction to contrast liquid. Do not let your child enter the MRI room with anything metal. Metal can cause serious injury. Tell the healthcare provider if your child has any metal in or on his body.
- IV fluids prevent dehydration and help prevent a sickle cell crisis.
- An incentive spirometer is a device to help your child take deep breaths. Have him use this as often as healthcare providers recommend.
- Occupational and physical therapy may help improve movement and strength and decrease pain. An occupational therapist teaches your child skills to help with his daily activities.
- A blood transfusion replaces blood with RBCs that are not sickle shaped. Your child may need a blood transfusion more than once.
- Surgery may be done to remove part or all of your child's spleen or gallbladder.
- Sickle cell anemia increases your child's risk for infection. He may not grow as fast as other children. He may reach puberty at a later age than other children. Your child may have a sickle cell crisis. This may cause severe pain and damage to organs, such as his kidneys or spleen. Sickle cell anemia may also cause jaundice (yellowing of his skin and eyes).
- Sickle cell anemia may lead to long-term lung, eye, or bone problems. It may cause boys to have painful erections (priapism). Sickle cell anemia increases your child's risk for a seizure or stroke. Even with treatment, sickle cell anemia increases the risk for organ failure, such as liver or kidney failure. These conditions may become life-threatening.
CARE AGREEMENT:You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.