Nonpharmacologic Therapy

Patients should avoid smoking and excessive alcohol intake. Patients with SCD should maintain adequate hydration in order to help decrease blood viscosity, and should be educated to avoid extreme temperature changes and to dress properly in hot and cold weather. Physical exertion that leads to complications should be avoided.5 Regular exams, including ophthalmic, renal, pulmonary, and cardiac function, are required to monitor for organ damage. A treatment overview is shown in Table 68-1.

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