Which of the following is NOT recommended in children with cystic fibrosis?
a. Systemic corticosteroids
b. High-dose ibuprofen
c. Inhaled antibiotics
d. Inhaled DNase (Dornase alpha) (Pulmozyme®)
A
Systemic glucocorticoids are not recommended in children and adolescents with CF. The benefits of systemic glucocorticoids are outweighed by the adverse effects on growth retardation, glucose metabolism, development of CF-related diabetes, and cataract risks. High-dose ibuprofen is recommended in children and young adolescents with mild CF. Ibuprofen has been shown to reduce bronchial inflammation without hindering bacterial clearance. Antibiotics are commonly administered to prevent or combat chronic respiratory tract infections. Inhaled DNase (Dornase alpha) (Pulmozyme®) has been shown to be especially helpful in the management of patients with moderate to severe CF. This aerosolized agent is an enzyme that breaks down the DNA of the thick bronchial mucus associated with chronic bacterial infections with CF.
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Which of the following BEST defines a "broviac catheter"?
A. A small, flexible, tubular instrument threaded into a large vein and inserted into one of the large chambers of the heart; used to deliver medication or nutrition to the central venous system B. The process of forcing oxygenated air into the lungs through mechanical means C. An NSAID used to reduce fever, pain, swelling, and stiffness; used in the treatment of various conditions, including rheumatoid arthritis and patent ductus arteriosus D. An antibacterial medication used in the treatment of respiratory infections, anthrax, intra-abdominal infections, and other high-risk diseases
A pediatric patient has ingested a poisonous substance but does not appear to be ill. The safest treatment option for this patient is
A) ipecac B) activated iron C) activated charcoal D) gastric lavage