A nurse is caring for a school-age child who has cystic fibrosis.
Exhibits
A nurse is reviewing the child’s medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child’s home medication list? Select all that apply.
A.
Water-soluble vitamins
B.
Acetaminophen
C.
Dornase alfa
D.
Meperidine
E.
Pancreatic lipas
The correct answer and Explanation is :
For a school-age child with cystic fibrosis, the nurse should expect to see the following medications:
A. Water-soluble vitamins
C. Dornase alfa
E. Pancreatic lipase
Here’s an explanation for each:
- Water-soluble vitamins: Children with cystic fibrosis often have difficulty absorbing fats due to pancreatic insufficiency. This malabsorption can lead to deficiencies in fat-soluble vitamins (A, D, E, and K) as well as water-soluble vitamins. Supplementation with water-soluble vitamins might be necessary to address potential deficiencies and ensure proper nutrition.
- Dornase alfa: Dornase alfa is a medication used to manage cystic fibrosis. It is a recombinant human DNase enzyme that helps to break down the thick, sticky mucus in the lungs. By reducing the viscosity of mucus, it helps improve lung function and reduces the risk of infections.
- Pancreatic lipase: Pancreatic enzyme replacement therapy, including pancreatic lipase, is crucial for cystic fibrosis patients. This medication helps in the digestion of fats, proteins, and carbohydrates. Since the pancreas is often unable to secrete enough digestive enzymes, supplementation is necessary to aid digestion and improve nutrient absorption.
The other options are less relevant for the primary management of cystic fibrosis:
- B. Acetaminophen: While acetaminophen (Tylenol) might be used for general pain or fever management, it is not specific to cystic fibrosis treatment.
- D. Meperidine: Meperidine is an opioid pain medication, which is generally not used for managing cystic fibrosis. Cystic fibrosis treatment focuses more on managing mucus production, lung function, and digestive issues rather than pain management.
In summary, the primary medications for a child with cystic fibrosis focus on improving lung function and aiding digestion, which includes water-soluble vitamins, Dornase alfa, and pancreatic lipase.