A child with cystic fibrosis is receiving pancreatic enzymes as part of the treatment plan. Which statement by the parents indicates that they understand how to administer these drugs to their daughter?

Question

A) "We will give her the drugs before she eats a meal or snack."
B) "We can open the capsule and sprinkle it on applesauce if necessary."
C) "Her dose will remain the same regardless of how much or what she eats."
D) "If she takes the enzymes, we won't have to give her vitamin supplements."

Answer 1

B
Response:
Capsules may be opened and sprinkled on cereal or applesauce if necessary to help the child swallow the medication. Pancreatic enzymes must be administered with all meals and snacks to promote adequate digestion and absorption of nutrients. The number of capsules (dose) required depends on the extent of pancreatic insufficiency and the amount of food being ingested. The dosage can be adjusted until an adequate growth pattern is established and the number of stools is consistent at one or two per day. Children will need additional enzyme capsules when high-fat foods are ingested. Vitamin supplements are needed in conjunction with pancreatic enzymes to promote adequate digestion and absorption of nutrients.