Real Life: RN Nursing Care of Children Cystic Fibrosis Community Care Study Guide

Order in which to admit a cystic fibrosis client from a home health careprovider - ANSWERSContact the family by phone Clarify purpose of referral Allow family to clarify needs Schedule visit as soon as possible Verify time/place of visit Order in which to listen to heart sounds - ANSWERSAorta Pulmonary Erb's point Tricuspid Mitral Listen to lung sounds, what sound was heard? - ANSWERScourse crackles What teaching is primary at the first home visit? - ANSWERSProvide an Overview of Cystic fibrosis. What is pathophysiology of CF? - ANSWERSChildren with CF has increased Na+ and Cl-content of their sweat. How much zithromax does a client need who weights 32kg, when the order is for 5mg/kg/day - ANSWERS5mg x 32kg x 1 day = 160 mg day What is a hand held mucus clearance devive? - ANSWERSsmall hand held device with a ball inside to facilitate removal of mucus How to administer Creon if unable to swallow? - ANSWERSopen capsule and sprinkle over applesauce. What are important dietary needs of a pt with CF? - ANSWERSEat 150% of RDA for age and size Respiratory medications education - ANSWERSlevalbuterol is a bronchodilator Dornase decreases viscosity of mucus Levalbuterol should be administered first Levalbuterol can lower blood glucose levels Education in reference to percussion, vibration, and postural drainage related to increase cough with CF - ANSWERSeach percussion, vibration and postural drainage should last about 45 minutes long Physical activities with CF - ANSWERSshould choose the activities she enjoys as much as the pulmonary health will allow normal growth and development - ANSWERS-cooperating/displaying the element of order among groups -respecting parental control Other health concerns with CF - ANSWERSChildren who have CF are greater risk for osteoporosis.( delayed growth , puberty , GI reflex , diabetics) Issues with eliminating respiratory therapy - ANSWERSimportant to adhere to medical regimen to promote optimal health