If after 2 attempts the RMO cannot insert the IV, the Registrar should be called. If the cannula comes out between 11 p.m. and 7 a.m. it is normally replaced the following morning, unless the child is very ill. To decide on antibiotics, consult the protocol currently used or the Paediatric Respiratory Physician. The dose of enzymes that the patient was receiving must be continued in hospital. If malabsorption is suspected, send a stool specimen for fat globules to the Microbiology Laboratory.
Most patients receive nebulised salbutamol before chest physiotherapy.
Electrolyte powder All patients receive added salt in their diet either as electrolyte powder or salt tablets. The dose may need to be increased during the summer months as the salt loss from sweating increases. Pulmonary Function Tests . They are done on admission, at weekly intervals during the admission and immediately prior to discharge. On discharge From Hospital Antibiotics.