Symptoms:
GI distress, hemoptysis, change in sputum character, chest pain, anorexia, vomiting
Signs:
Labored breathing, fever, weight loss, changes on pulmonary exam
Data:
Hypoxemia, decreased lung volume, abnormal CXR, leukocytosis, presence of new microbes
Therapies:
Oxygen, antibiotics, airway clearance therapies, nutrition, bowel program
* Keep an eye on:
Weight - rapid changes (usually drops)
Pulse oximetry - dropping below 90 is a sign of hypoxemia
Abnormal lab values - particularly sodium which is often lost through sweat
Culture data - may identify microbes which would signify an infection
Blood sugars - CF patients sometimes need to be put on insulin therapies due to hyperglycemia
Imaging - CXR - can identify pneumothorax, other structural lung problems
Immunizations - prevent infectious diseases
Preventative care - vital due to weakened immune systems. Be vigilant about hygiene/PPE.
References:
http://medicine.missouri.edu/jahm/review-article-care-hospitalized-patient-cystic-fibrosis-summary-current-practice-guidelines-recommendations-hospitalist-part-1-pulmonary-exacerbation/
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