Which medication should the nurse expect to administer to a child admitted with sickle cell pain?
1. Morphine sulfate (Duramorph)
2. Meperidine (Demerol)
3. Acetaminophen (Tylenol)
4. Ibuprofen (Advil)
1. Morphine sulfate (Duramorph)
Rationale: The pain during a sickle cell crisis is severe, and morphine is needed for pain control around the clock or by patient-controlled analgesia (PCA). Meperidine is not used for pain control for clients with sickle cell pain crisis, because it can cause seizures. Acetaminophen or ibuprofen is used for mild pain, and would not be effective for the severe pain experienced by a child in sickle-cell pain crisis.
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