A child with sickle cell disease is receiving hypertransfusion ...

[leilurhhh]

A child with sickle cell disease is receiving hypertransfusion therapy, and the current serum ferritin level is 1,035 g/L. What medication does the nurse prepare to administer?
 
  A.
  Deferoxamine (Desferal)
  B.
  Elemental iron
  C.
  Furosemide (Lasix)
  D.
  Morphine sulfate (Duramorph)

Question 2

Which health promotion measure does the nurse teach as being most important for the child with sickle cell disease?
 
  A.
  Adequate nutrition
  B.
  Ensured rest periods
  C.
  Plenty of fluids
  D.
  Routine vaccinations

[phuda]

Answer to Question 1

ANS: A
A complication of hypertransfusion is iron overload, diagnosed with a serum ferritin level of greater than 1,000 g/L. The treatment is chelation therapy with an agent such as deferoxamine. Iron would be contraindicated. Lasix is given for fluid overload. Morphine is given for pain.

Answer to Question 2

ANS: D
All options are appropriate for the child with sickle cell disease; however, vaccinations are vital to prevent sepsis and death from preventable diseases.