Nursingbulletin.Com Cystic Fibrosis

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Nursingbulletin.Com Cystic Fibrosis

  1. 1. Cystic Fibrosis Nursingbulletin.com : One-stop Hub Philippine Nursing News and Resources, Nursing Licensure Examinations, Nursing Board Exam Results, Nursing Updates. 
  2. 2. Cystic Fibrosis <ul><li>- a multi-system disorder (autosomal recessive trait disorder) </li></ul><ul><li>- Common symptoms: </li></ul><ul><li>pancreatic enzyme deficiency - duct blockage </li></ul><ul><li>chronic lung disease – infection </li></ul><ul><li>sweat gland dysfunction - increased NaCl sweat concentrations </li></ul><ul><li>- SWEAT CHLORIDE TEST </li></ul>
  3. 3. CYSTIC FIBROSIS <ul><li>RESPIRATORY SYSTEM </li></ul><ul><li>- Stagnation of the mucus in the airway </li></ul><ul><li>- Emphysema & atelectasis </li></ul><ul><li>- Chronic hypoxemia </li></ul><ul><li>- Pneumothorax </li></ul><ul><li>- Wheezing & dry non-productive cough </li></ul><ul><li>- Dyspnea </li></ul><ul><li>- Cyanosis </li></ul><ul><li>- Clubbing of the fingers & toes </li></ul><ul><li>- Repeated episodes of bronchitis & pneumonia </li></ul>
  4. 4. CYSTIC FIBROSIS <ul><li>GASTROINTESTINAL SYSTEM </li></ul><ul><li>- Meconium ileus in the neonate </li></ul><ul><li>- Intestinal obstruction </li></ul><ul><li>S/S: pain, abdominal distention N&V </li></ul><ul><li>- Stearrhea </li></ul><ul><li>- Deficiency of A,D, E & K; Malabsorption Syndrome </li></ul><ul><li>- Malnutrition & failure to thrive </li></ul><ul><li>- Rectal prolapse </li></ul>
  5. 5. CYSTIC FIBROSIS <ul><li>INTEGUMENTARY SYSTEM </li></ul><ul><li> - ↑ of Na & Cl in sweat </li></ul><ul><li>- Dehydration & electrolyte imbalances during ↑ weather </li></ul><ul><li>REPRODUCTIVE SYSTEM </li></ul><ul><li> - Delayed puberty in females </li></ul><ul><li> - Infertility </li></ul><ul><li> - Sterility </li></ul>
  6. 6. CYSTIC FIBROSIS <ul><li>DIAGNOSTIC TESTS </li></ul><ul><li>1. Sweat Chloride Test </li></ul><ul><li>2. Chest X-ray </li></ul><ul><li>3. Pulmonary function test </li></ul><ul><li>4. Stool / fat or Enzyme analysis </li></ul>
  7. 7. CYSTIC FIBROSIS <ul><li>NURSING CARE FOR THE RESPIRATORY SYSTEM </li></ul><ul><li>A. Preventing pulmonary infection </li></ul><ul><li>B. Antimicrobial meds. </li></ul><ul><li>C. Chest Physiotherapy </li></ul><ul><li>D. Bronchodilators </li></ul><ul><li>E. Flutter Mucus Clearance Device </li></ul><ul><li>F. Therapy Vest Device </li></ul><ul><li>G. Recombinant Human Deoxyribonuclease </li></ul><ul><li>(DNASE) </li></ul>
  8. 8. CYSTIC FIBROSIS <ul><li>NURSING CARE (RESPIRATORY SYSTEM) </li></ul><ul><li> - Do not give cough suppressants </li></ul><ul><li>- Forced expiratory technique (huffing) </li></ul><ul><li>- Physical exercise </li></ul><ul><li>- Antibiotics prophylactically </li></ul><ul><li>- O2 as needed </li></ul><ul><li>- Monitor for hemoptysis </li></ul><ul><li>- Possible lung transplant </li></ul>
  9. 9. CYSTIC FIBROSIS <ul><li>NURSING CARE FOR THE GIT SYSTEM </li></ul><ul><li>- Pancreatic enzymes </li></ul><ul><li>- Encourage a well-balanced </li></ul><ul><li>- Monitor for failure to thrive </li></ul><ul><li>- Monitor for constipation & intestinal obstruction </li></ul><ul><li>- Supplement salt during extremely hot weather </li></ul>
  10. 10. <ul><li>THE UNIVERSE ALWAYS CONSPIRES THE DREAMER TO ACHIEVE ITS DREAMS! </li></ul><ul><li>DREAM, BELIEVE AND REALIZE! </li></ul><ul><li>Nursingbulletin.com </li></ul>

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