Patient Encounter 1

An 18-month-old female is presenting for a routine check-up. She was diagnosed with sickle cell anemia at birth, identified through neonatal screening. Today, her hemoglobin is 8.6 g/dL (86 g/L or 5.3 mmol/L) and she is afebrile.

What acute complications is she at risk for developing?

What preventative treatment should she receive?

What additional information do you need to know before creating a plan for this patient?

Folic Acid

Folic acid supplementation with 1 mg daily is generally recommended in adult SCD patients, women considering pregnancy, and any SCD patient with chronic hemolysis.5 Because of accelerated erythropoiesis, these patients have an increased need for folic acid. There are conflicting studies in the SCD population, especially among infants and children, but if the child has chronic hemolysis, supplementation is recom-mended.18

Fetal Hemoglobin Inducers

Fetal hemoglobin (HbF) induction in patients with SCD, especially those with frequent crises, has been shown to decrease RBC sickling and RBC adhesion. A direct relationship between HbF concentrations and the severity of disease have been demonstrated in studies.2

How To Bolster Your Immune System

How To Bolster Your Immune System

All Natural Immune Boosters Proven To Fight Infection, Disease And More. Discover A Natural, Safe Effective Way To Boost Your Immune System Using Ingredients From Your Kitchen Cupboard. The only common sense, no holds barred guide to hit the market today no gimmicks, no pills, just old fashioned common sense remedies to cure colds, influenza, viral infections and more.

Get My Free Audio Book

Post a comment