Sickle Cell (PERFUSION) RAPID Reasoning


Prepare students to clinically reason by recognizing RELEVANT clinical data and set correct PRIORITIES when a patient presents with sickle cell crisis!

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Key Concepts in Order of Emphasis:

I. Perfusion
II. Pain
III. Clotting
IV. Fluid and Electrolyte Balance
V. Clinical Judgment
VI. Patient Education
VII. Communication

Brief Description

Anthony has a history of sickle cell anemia. Students must be able to clinically reason by recognizing relevant clinical data that indicates that he is having a sickle cell crisis.

The nurse must be able to correctly interpret this data and then identify the nursing priority, plan of care and rationale for medical management.


This Case Study Begins with the Following Scenario:

Anthony Perkins is a 15-year-old African American male who was at a medically monitored summer camp and participated in several sports activities when the temperature was greater than 90 degrees.

He began having pain in his knees and was evaluated by the camp nurse. After evaluation, he was transported to his primary care provider where he was then transferred as a direct admit to the pediatric floor of the community hospital where you are the primary nurse responsible for his care. He weighs 70 kg.

Three Complementary Bonuses!

  1. Faculty users guide to successfully implement this active learning tool in your program!
  2. SBAR template. Use this to add and practice SBAR with this scenario!
  3. QSEN/concept based questions in Word doc. Integrate concepts and QSEN competencies into this case study! Several questions related to the primary concept and each QSEN category that can be edited to create a supplement for this case study.

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