Which is the most appropriate initial treatment for Sickle cell painful crisis?
Answer and explanation
Correct answer: D. Intravenous fluids, oxygen and opioid analgesia
- Step 1: Sickle cell painful crisis is treated with intravenous fluids, oxygen and opioid analgesia.
Answer
Intravenous fluids, oxygen and opioid analgesia.
Why not the others: 'Oral paracetamol and discharge': severe pain needs opioid analgesia and fluids. 'Immediate splenectomy': it is not treatment for a crisis. 'Routine blood transfusion for every crisis': it is not routine for uncomplicated pain.
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