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15 Cards in this Set
- Front
- Back
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cystic fibrosis pathophysiology |
defective Cl channel blocks transport Na stays with Cl Water stays with Na |
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CF Signs & Symptoms |
Failure to thrive frequent lung infections malnutrition delayed meconium bulky, greasy stinky poop |
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Diagnostic - History and Physical CF |
fx hx of cf failure to thrive meconium ileus (bowel distension gas) wheezing dry non productive cough atelectasis - clogging of bronchial cyanosis barrel chest clubbing fingers/toes salty sweat tears saliva
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CF Diagnosis proceedures |
sweat test - Cl > 60 mEq (2-4 wks post natal) chest x-ray patching and atelectasis congestive emphasima pulmonary function test - identifies small blocked airways suptum culture (psudomonias) |
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Sweat Test prep instructions |
no lotion for 24 hr hydrate warm clean skin |
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CF GI Impact |
blocked pancreas and bile ducts poor digestion of fat and protein poor absorption of Vit A, D, E, K Na & Cl imbalance due to poor reabsorption Intussusception (telescoping intestine) mucosal mechanical obstruction CF related diabetes |
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CF GI interventions |
Oral pancreatic enzymes increase calories increase protein supplement A D E K (ostiopenia) increase NaCl nocturnal feeding tube |
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CF Lab tests |
Sweat test Cl > 60 CBC Blood glucose nutritional pannel C Reactive Protein - inflammation sputum culture stool analysis (fat & enzymes) |
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CF Fertility Impacts |
Men 98% steril Vas Deferens Agenesis - thick mucus blocks prenatal development Female thick mucus prevents sperm movement poor nutrition inhibits conception and fetal viability |
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CF Lunt Treatments |
Chest Physical Therapy Exercise Antibiotics Bronchodilators anit-inflamatory (steroids) Lung transplant |
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Pulmonary Rehab CF |
exercise training nutrition counseling energy conservation techniques breathing stratigies education psych counseling |
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CF Lung medications |
DNAse (mucolytic) albuterol saline nebulizer prophylactic antibiotic flu vaccine up to date vaccines |
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CF early childhood signs and symptoms |
failure to thrive (<5% height & weight) bulky, floating stinky poop freq resp infections nasal polyps |
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Chest PT equipment for CF |
Mechanical Percussor Inflatable therapy vest (high frequency air) hand held device exhale through- vibration loosen mucus mask that creates vibrations |
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Breathing Technique for CF |
force out 2 short or deeper breaths then relaxed breathing |
