Cystic Fibrosis Diagnostic Test - sweat test-chloride test (excess chloride release)
PFT-monitor current status
CXR-monitor current status
DNA Testing
Cystic Fibrosis Treatment - Postural drainage and percussion
Good hygiene
Moistened oxygen
Nebulized meds
Antibiotics (Tobramycin solution for inhalation)
Dornase alfa
Pancreatic enzyme
Diet: High calorie & protein, moderate fat
Water-miscible forms of Vit A, D, E supp
Generally not breast fed, not enough protein
,Pancreas-lung transplant
Tobramycin (TOBI) - used to treat chronic P. aeruginosa infection in CF patients
Dornase alfa (Pulmozyme) - decreases viscosity of mucus and improves lung function.
improvement monitored by pfts. use once daily.
Pancreatic Enzyme Replacement - Pancreatic enzymes (pancreatin and pancrelipase); action: aid
in the digestion of starches, fats, protein; side effects: anorexia, N/V, diarrhea, hypersensitivity, sneezing,
lacrimation, skin rashes; nursing responsibilities: do not use with antacids, avoid inhaling powder, client
education: take with meals
Cystic Fibrosis Family Teaching - Functions of oxygen and how to regulate flow
Postural drainage
Encourage them to think about fitting the treatment/illness into family life (DO both parents work)
Respiratory Distress Syndrome (RDS) - A respiratory disorder that affects premature infants born
without enough surfactant in the lungs. It is treated with respiratory support and surfactant
administration
Production starts at 24 weeks (gestation)
Patho
Poorly developed alveoli are difficult to inflate.
-Dobutamine (stop labor), may develop tachycarida for mon
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