A child is in the hospital for cystic fibrosis. What health care provider's prescription should the nurse clarify before implementing?
a. Dornase alfa (Pulmozyme) nebulizer treatment bid
b. Pancreatic enzymes every 6 hours
c. Vitamin A, D, E, and K supplements daily
d. Proventil (albuterol) nebulizer treatments tid
ANS: B
The principal treatment for pancreatic insufficiency that occurs in cystic fibrosis is replacement of pancreatic enzymes, which are administered with meals and snacks to ensure that digestive enzymes are mixed with food in the duodenum. The enzymes should not be given every 6 hours, so this should be clarified before implementing this prescription. Dornase alfa (Pulmozyme) is given by nebulizer to decrease the viscosity of secretions, vitamin supplements are given daily, and Proventil nebulizer treatments are given to open the bronchi for easier expectoration.
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