NUR 2513 / NUR2513 Maternal Child

Nursing Exam 3 Concept Guide (Modules 6-

8) | Latest 2021 / 2022 | Rasmussen College

Respiratory: Chapter 23

• Cystic Fibrosis (CF)- How does a person get cystic fibrosis? It is a multisystem

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❖ Genetics; Occurs when two parents have the recessive gene it is INHERITED

AUTOSOMAL RECESSIVE DISORDER.

❖ Production of thick mucus/ inherited recessive gene/

❖ Clinical manifestation: fatty stool, rectal prolapse, crackles and wheezes

❖ When listening to lungs (classic sign) skin will be salty, taste like tears,

MECONIUM STOOL (ileus) when it’s too sticky and thick gets stuck that’s why

it’s called meconium ileus- when the meconium gets stuck. (baby’s first stool)/it’s

very thick and sticky/baby has to have surgery,

❖ Diminished breath sounds, dry productive cough, tachypnea, hypoxia, and some

cyanosis (can see clubbing of fingers because of hypoxia and cyanosis). Can

affect respiratory system, GI and reproductive system. Their skin tastes salty.

❖ How does it impact the breakdown of their food? They have an absence of

pancreatic enzymes, so they must take pancreatic enzymes to help break down

foods. Get child involved in meal planning.

❖ Teachings: They should have respiratory therapy (chest pt, postural drainage)

before meals because they will start vomiting.

❖ Diet: should be on a high calorie diet (make sure to mix pancreatic enzymes with

meals)/ should speak with nutritionist/child/respiratory therapist to pick out

meals/ preventing respiratory infections are crucial to the quality of life for the

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NUR 2513 / NUR2513 Maternal Child Nursing Exam 3 Concept Guide (Modules 6-8) | Latest 2021 / 2022 | Rasmussen College Respiratory: Chapter 23 • Cystic Fibrosis (CF)- How does a person get cystic fibrosis? It is a multisystem disorder.  Genetics; Occurs when two parents have the recessive gene it is INHERITED AUTOSOMAL RECESSIVE DISORDER.  Production of thick mucus/ inherited recessive gene/  Clinical manifestation: fatty stool, rectal prolapse, crackles and wheezes  When listening to lungs (classic sign) skin will be salty, taste like tears, MECONIUM STOOL (ileus) when it’s too sticky and thick gets stuck that’s why it’s called meconium ileus- when the meconium gets stuck. (baby’s first stool)/it’s very thick and sticky/baby has to have surgery,  Diminished breath sounds, dry productive cough, tachypnea, hypoxia, and some cyanosis (can see clubbing of fingers because of hypoxia and cyanosis). Can affect respiratory system, GI and reproductive system. Their skin tastes salty.  How does it impact the breakdown of their food? They have an absence of pancreatic enzymes, so they must take pancreatic enzymes to help break down foods. Get child involved in meal planning.  Teachings: They should have respiratory therapy (chest pt, postural drainage) before meals because they will start vomiting.  Diet: should be on a high calorie diet (make sure to mix pancreatic enzymes with meals)/ should speak with nutritionist/child/respiratory therapist to pick out meals/ preventing respiratory infections are crucial to the quality of life for the

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