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What is cystic fibrosis? How does it present?
Genetic disorder affecting the lungs, pancreas, liver, intestine and reproductive organs.
Pulmonary disease with recurrent chest infections
Production of copious viscous sputum
Malabsorption due to pancreatic insufficiency
Which mucolytic is used in patients with CF?
Dornase alfa is the first choice mucolytic.
Which CFTR modulators are used in CF?
Ivacaftor-tezacaftor-elexacaftor combination
How is staph aureus pulmonary infection treated?
Flucloxacillin
Which immunomodulatory agent is used in CF?
Long-term azithromycin at an immunomodulatory dose
What is used to treat exocrine pancreatic insufficiency?
Pancreatic enzyme replacement therapy
What should be monitored in patients with CF? 4 things
Intestinal obstruction - oral or intravenous fluids should be offered to ensure adequate hydration if patients have distal intestinal obstruction syndrome
Liver disease - if abnormal, ursodeoxycholic acid can be given until liver function is restored.
Diabetes - cystic fibrosis-related diabetes can occur
Bone mineral density - cystic fibrosis-related low bone mineral density can occur