Cystic Fibrosis Case Study Preceptor Teaching Points 1. Malnutrition results in growth retardation and weight loss. Protein-energy malnutrition impairs immune responses and increases the risk of pulmonary infections. Declining respiratory muscle strength may adversely affect survival. High calories, protein and fat prescribed to account for the significant increased work of breathing and potential for malabsorption and maldigestion.
Extra salt is needed to replace the large amounts of sodium lost in perspiration.
ADEK supplement available. Typically CF patients are recommended to consume two times the RDA for vitamins and minerals to prevent the associated deficiencies. Patients with CF are often hypermetabolic because of their increased work of breathing, inflammatory responses, and infections. WM is currently febrile, tachypneic, tachycardic, and hyperglycemic. In addition to being hypermetabolic, she has most likely reduced her intake due to anorexia.