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Cystic Fibrosis (S/S (Clubbed Fingers, Dyspnea, Wheezing, Loose Stools,…
Cystic Fibrosis
S/S
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Large, Fatty, Foul, stool
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Pathophysiology
Occurs in 1 in 3500 live births in Caucasian infants (mostly Northern European descent and 1 in 13,000 African American infants in the US.
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Nursing Diagnosis
Goals: Maintain patent airway as demonstratedby effective cough, thin repirtory secretions, respiratory rate and effort. O2 saturation >92% on room air
Nursing Interventions: Observe respirtory status (rate, depth, effort, breath sounds, 02 satturation, skin color) at least every 4 hours. Administer humidified 02 as ordered by Dr; monitor O2 sats frequently.Administer bronchodilators and expectorants as ordered by Dr.
Rationales: Allows for early detection of intervention for changes in child's repiratory status. Humidification thins and loosens secretions. Medications help thinning, loosening, expectoration of respiratory mucus.