A patient in sickling crisis asks,
Why does this hurt so much? Which nursing response is indicated?
1. When your sickled blood cells
are destroyed by your spleen, they release bilirubin, which damages your
tissues, resulting in pai 2. A substance called bradykinin is released from
your red blood cells when they are damaged. That substance causes muscle pain.
3. The sickled cells block the very small vessels in your tissues and keep
them from getting enough oxygen, and that causes pain. 4. We know that sickle
cell anemia is very complex, but no one has discovered exactly why the pain
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