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Cystic Fibrosis Concept Map
Community Health (4404)
Schreiner University
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ACTIVE LEARNING TEMPLATES
System Disorder
STUDENT NAME _____________________________________ DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
ACTIVE LEARNING TEMPLATE:
ASSESSMENT SAFETY CONSIDERATIONS
PATIENT-CENTERED CARE
Alterations in Health (Diagnosis)
Pathophysiology Related to Client Problem
Health Promotion and Disease Prevention
Risk Factors Expected Findings
Laboratory Tests Diagnostic Procedures
Complications
Therapeutic Procedures Interprofessional Care
Nursing Care Medications Client Education
Cystic Fibrosis
Cystic Fibrosis
Assess lung sounds and respiratory status. Monital O sat. Obtain sputum culture to check for infection. Provide support to child and family.
DNA test Chest x-ray Sweat test Duodenal analysis Stool analysis
-Deficient in vitamin A,D,E,K (fat-soluble) May have infection
CF is a respiratory disorder that is a result of an inherited gene from both parents. This causes thick mucus production that mechanically obstructs organs.
Family history of CF. Meconium ileus at birth manifested as distended abdomen, vomiting, and inability topass stool. Meconium ileus is the earliest indication of CF in a newborn. Respiratory findings: Early maifestations include; wheezing, ronchi, nonproductive cough. Increasedinvolvement; dyspnea, atelectasis, paroxysmal cough. Advanced involvement; cyanosis, barrel-shaped chest(emphysema) clubbed finger/toes findings: large appetite transition into loss of appetite. Failure to gain weight. Deficiency of fat-soluble vitamins: High Na+and Cl- in sweat, tears, mucus
Genetic screen before concieving.
Both biological parents carry recessive CF trait. Caucasian ethnicity.
Increased risk for infections. Eat increased calories. Avoid dehydration because of the high NA+ and Cl- levels.
Respiratory therapist, physical therapist, social service, pharmacist, pediatrician, disease specialist, dietitian,
Breathing exercises and CPT. Stay up to date on immunizations. Increase calorie intake. Rest before meals. Risk for depression.
Albuterol Anticholonergics Fluticasone proprionate(rinse mouth, monitor for tachycardia when also taking albuterol), Dornase alfa (monitor sputum thickness. Antibiotics, pancreatic enzyme, Fat-soluble vitamins
Pulmonary management: airway clearance therapy, aerobic exercise, aersolized antibiotics. GI management: high protein high calorie diet enzymes 30 min prior to meal, increase oral fluid intake, admin vitamin A, D, E, K. Laxative/stool softener for constipation. Endocrine management: monitor blood glucosebecause CF increase risk for diabetes.
Respiratory infections, emphysema, pneumothorax, nasal polyps.
GI: Meconium ileus, prolapse rectum, intestinal obstruction, GERD
Diabetes.
Cystic Fibrosis Concept Map
Course: Community Health (4404)
University: Schreiner University
