Further Issues in Cystic Fibrosis Flashcards
What staff are included in the multidisciplinary team for CF treatment?
Also includes
- Diabetic Team
- GI team
- Community Nurses
- Genetics staff
- Nutrition Nurse
GP
- X-Ray Staff
- Obstetricians
- Gynaecologists
What is the effect of CF on sexual function?
- CF has no effect on sexual function in men or women
- Puberty may occur later
What is the effect of CF on fertility?
- CF does affect fertility in men – > 95% males infertile – blocked/absence vas deferens
- Females are fertile although poor nutritional state may affect chances of conception
What is the technique where the sperm is injected direectly into the egg?
Intracytoplasmic sperm injection technique
How many attempts of ICSI are offered on NHS?
3
When are patients offered a lung transplant?
When the FEV1 is less than 30% predicted
Massive weight loss
Hypoxia at rest / de-saturation on exercise
Hypercapnia
Recurrent worsening sepsis
Worsening quality of life
What are absolute contra-indications to transplant?
Other organ failure
Malignancy within the last 5 years
Significant peripheral vascular disease
Drug, nicotine, alcohol dependancy
Active systemic infection
Microbiological issues (M. abscessus)
What are the relative contraindications?
- Other organ dysfunction
- Non-compliance
- Steroids >20mg daily
- Absence of recognised social support
- Osteoporosis
- Low BMI - 18 or above needed
- Surgical risks (previous thoracic surgery)
What are the pschosocial issues attached to a lung transplant?
Hope
Fear - •risks, no lungs in time, infection means suspension from the waiting list
Guilt/conflict - •someone had to die in order for them to receive the lungs
Stress
Freeman Hospital Lung Transplant Statistics (2015)