For Cystic Fibrosis patients, there are 4 main nursing
diagnoses that helps to direct nursing interventions and patient care.
Nursing
Diagnosis 1: Ineffective airway clearance
R/T inability to clear mucus.
Interventions:
– Provide moistened oxygen (30-40%)
to correct hypoxia and acidosis.
– Use mucolytic agents and do not
give cough suppressants.
– Aerosol therapy 3-4 times a day.
– Postural drainage
– Encourage activity
– Provide respiratory hygiene
– Frequent mouth washes
– Frequent observation of the child
Nursing Diagnosis 2: Altered
nutrition less than body requirement R/T inability to digest fat.
Interventions
– Provide a high calorie, high
protein, moderate fat diet.
– Supplement vit. ADE and K as water
miscible forms
– Add extra salt in diet, especially
during summer.
– Supplement with synthetic
pancreatic enzymes before each snack and meal.
– In small infants open the capsule
and mix the contents to 1 tsp. of food or warm water and give. It should not be
added to bottle or formula.
– Make sure the room temperature is
always below 720F to prevent excessive perspiration
Nursing Diagnosis 3: Risk for
altered skin integrity R/T acid stools
Intervention
– For infants change diapers
immediately when the stool is passed.
– After a bowel movement check the
child’s rectum for prolapse.
– If prolapse is present with a
gloved lubricated finger replace it gently back.
– After replacement tape the
buttocks together to maintain gentle pressure on the anus.
Nursing Diagnosis 4: High risk for ineffective
family coping R/T chronic illness of patient.
Interventions:
– Teach the home care
– Regular follow up visits
– Arrange for schooling or a home
tutor
– Encourage all family members in
giving care
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