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RCP 210 Fall 2011

RCP 210

This is very important for the patient/family of a person with Cystic Fibrosis because it relates to daily home care Management & Education
Cystic Fibrosis Patients typically have Gastrointestinal problems and are low in these types of enzymes? Pancreatic enzymes
True or False. It is necessary for Cystic Fibrosis patients to take enzyme substitutes and Vitamin Supplements? True
The Diet of a Cystic Fibrosis Patient should consists of? A Diet low in fat, high in protein, and a high caloric intake
What is the # 1 Respiratory Problems associated with Cystic Fibrosis? secretion mobilization
True Or False: Vigorous bronchial hygiene with aerosolized medications and CPT is not needed on a daily basis with Cystic Fibrosis Patients? False
What is given to Cystic Fibrosis patients to help improve the clearance of secretions Mucolytics
This Test may be ordered when babies are not creating enough sweat to perform a sweat test or malnourished infants? Immunoreactive trypsinogen test
This is a protein that, when elevated, indicates pancreatic insufficiency trypsinogen
2 positive immunoreactive trypsinogen tests would be indicative of this type of disease? Cystic Fibrosis
This drug breaks down the DNA of mucus to aid in the removal of secretions? Dnase, Alpha Dornase, Pulmozyme)
An inflammatory Process caused by a microorganism that primarily affects the gas exchange area of the lungs (moving away from the airways into the parenchyma)? Pneumonia (Pneumonitis)
The Term Used to explain when WBC’s go to infected area to engulf and destroy bacteria? Surface phagocytosis)
Atelectasis is especially common in this type of pneumonia? aspiration pneumonia
What are the anatomical changes caused by Pneumonia? 1)Effusion 2) alveolar consolidation 3) Atelectasis – especially in aspiration pneumonia Necrosis/scaring of lung tissue
This is term that explains when serum (the liquid part of the blood) & RBC’s from capillaries (capillaries get leaky) flow into alveoli Effusion
What does a positive “Sweat Test” or iontophoresis actually measure? Does not measure the amount but the concentration of sodium and chloride in sweat.
Normally the volume of sodium chloride is? 18 mEq/L; volume of sweat is normal; content is abnormal
Children with measurements > _____Eq/L would be positive for CF > 60mEq/L
Adults with measurements > _____Eq/L would be positive for CF 80mEq/L
What other than WBC's go to infected area to remove debris Macrophages
When the Alveoli fill up with junk (dead white blood cells, macrophages) Alveolar _____________ is said to occur consolidation
CFTR Gene Analysis stands for? and accounts what percentage of CF patients tested? Cystic Fibrosis Transmembrane Regulator 70 to 75%
Created by: jlsteely