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Nursing Care of Children Retakecystic fibrosis
mucus glands that secrete an increase in the quantity of thick, tenacious mucus, which leads to
mechanical obstruction of organs; an increase in organic and enzymatic constituents in saliva;
an increase in sodium and chloride content of sweat; and autonomic nervous system
abnormalities
Expected findings of cystic fibrosis
Meconium ileus at birth --> distention of abdomen, vomiting, and inability to pass stool
it is the earliest indication of cystic fibrosis in newborns
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deficiency in patients with cystic fibrosis
Vitamin A, D, E and K
What test is used for cystic fibrosis
Sweat chloride test: diagnostic confirmation: Chloride greater than 40 mEq/L for infants less
than 3 months of age and greater than 60 mEq/L for all others; sodium greater than 90 mEq/L
Pulmonary management of cystic fibrosis
-Provide airway clearance therapy (ACT) to promote expectoration of pulmonary secretions;
prescribed twice a day morning and night, avoiding immediately before or after meals
-Positive expiratory therapy (PEP)
-breathing techniques
-High-frequency chest compression
, -Aerosol therapy (bronchodilator, human deoxyribonuclease)
GI management of cystic fibrosis
-well-balanced diet high in protein and calories
-three meals a day with snacks
-oral fluids
-pancreatic enzymes within 30 min of eating
-Vitamins A, D, E, and K
-stool softeners
-add salt to food during hot weather
Medications for cystic fibrosis
albuterol, anticholinergics, fluticasone propionate, pulmonary infection medications (tobramycin,
ticarcillin, or gentamicin)
Important nursing actions for cystic fibrosis
collect blood before and after some IV antibitotics
Client education for cystic fibrosis
-encourage rest before meals and physiotherapy
Dictatorial or authoritarian parenting style
control the child's behaviors and attitudes through unquestioned rules and expectations
Permissive parenting style
little or no control over the child's behaviors, and consult child when making decisions
Democratic or authoritative parenting style
-direct the child's behavior by setting rules and explaining the reason for each rule setting
-parents negatively reinforce deviations from the rules, privileges taken away but reinstated
based on new guidelines
Passive parenting style
uninvolved, indifferent, and emotionally removed
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