Final answer:
The finding that should be immediately reported to the provider in a patient with a vaso-occlusive crisis due to sickle cell anemia is 'Increased heart rate and respiratory rate,' as it may indicate a serious complication.
Step-by-step explanation:
Vaso-Occlusive Crisis in Sickle Cell Anemia
A sickle cell anemia vaso-occlusive crisis is a severe, painful episode that is a medical emergency and requires immediate attention. During such a crisis, abnormally shaped hemoglobin S within red blood cells causes them to assume a sickle shape, especially at low oxygen concentrations, leading to blood vessel blockages and a variety of serious problems due to reduced blood flow to tissues.
Among the findings listed, the one that should be reported to the provider immediately is 'Increased heart rate and respiratory rate'. This could indicate cardiopulmonary stress or even acute chest syndrome, which are serious complications of sickle cell anemia and could be life-threatening.
- Pain relieved by analgesics is an expected outcome and not a critical concern if the pain is being managed successfully.
- Hemoglobin level within the expected range is reassuring and not an immediate cause for alarm.
- Normal urine output and color suggest proper kidney function and hydration, which are good signs.