A patient with sickle cell disease who has a new infiltrate on CXR, in addition to at least one of the following: chest pain, fever, hypoxia or respiratory symptoms (shortness of breath, wheezing, persistent cough, retractions, rales).
These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.