Child with Cystic Fibrosis: Julia Franklin is a 6-year-old child who was diagnosed with cystic fibrosis at age 2 . She has a poor appetite, and her height and weight are below normal for her age. Her parents have been instructed to feed her a
high-calorie, high-protein, high-fat diet with extra salt and to provide snacks between all meals. She takes supplemental enzymes each time she eats. She experiences frequent respiratory infections, and has had numerous hospitalizations for cystic fibrosis exacerbation since her diagnosis.If Julia cannot swallow the supplemental enzymes, suggest ways her parents might provide the enzymes to her.
Pancreatic enzyme replacements can be provided to children by mixing the contents of the capsules with small amounts of liquid or soft food and feeding it with a spoon.
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