Which of these strategies are appropriate to manage GI dysfunction that CF patients often
experience? Select all that apply.
a. Administer fat-soluble vitamins daily.
b. Administer pancreatic enzymes with meals and snacks.
c. Restrict fat intake.
d. Encourage a high-protein diet.
e. Breastfeeding is contraindicated in infants with CF.
f. Encourage snacks between meals.
b, d, f
Pancreatic enzyme replacement is the primary treatment for pancreatic insufficiency. These are
administered with meals and snacks to ensure that they are digested with the food in the duodenum.
The patient is encouraged to consume an unrestricted high-caloric diet (110% to 200% of standard).
Fat intake is generally not restricted because of impaired absorption. Improved nutrition has been
linked to improved lung function. Because of the patient's increased caloric needs, three snacks a
day are encouraged with regular meals. Breastfeeding is encouraged with enzyme supplementation.
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