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Key treatments Braces or splints and special appliances, suchas adapted eating utensils and a low toilet seatwith arms, to help child perform activities independently Range-of-motion (ROM) exercises to minimizecontractures Muscle relaxants or neurosurgery to decreasespasticity, if appropriateKey interventions Assist with locomotion, communication, andeducational opportunities.

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NURSING DIAGNOSESImpaired gas exchangeIneffective airway clearanceIneffective breathing patternFearActivity intoleranceTREATMENTOral hydration, if possibleCool mist tentHumidified oxygenI.

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Key treatments Bed rest Antiarrhythmics: amiodarone (Cordarone), procainamide Antibiotics: according to sensitivity of infecting organism Cardiac glycoside: digoxin (Lanoxin) to increase myocardialcontractility Diuretic: furosemide (Lasix)Key interventions Assess cardiovascular status frequently to monitor for signsof heart failure, such as dyspnea, hypotension, and tachycardia.

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The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults.

The key is a closedloop feedback control system developed at MIT.

Key treatments Antibiotic therapy according to sensitivity ofinfecting organisms Antiviral agent: zidovudine (Retrovir) Monthly gamma globulin administrationKey interventions Monitor vital signs and intake and output Monitor developmental progress at regularintervals.

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