Wednesday, November 25, 2015

Nursing Diagnosis for Cystic Fibrosis patients

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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