Further Issues in Cystic Fibrosis Flashcards

1
Q

What staff are included in the multidisciplinary team for CF treatment?

A

Also includes

  • Diabetic Team
  • GI team
  • Community Nurses
  • Genetics staff
  • Nutrition Nurse

GP

  • X-Ray Staff
  • Obstetricians
  • Gynaecologists
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2
Q

What is the effect of CF on sexual function?

A
  • CF has no effect on sexual function in men or women
  • Puberty may occur later
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3
Q

What is the effect of CF on fertility?

A
  • 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
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4
Q

What is the technique where the sperm is injected direectly into the egg?

A

Intracytoplasmic sperm injection technique

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5
Q

How many attempts of ICSI are offered on NHS?

A

3

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6
Q

When are patients offered a lung transplant?

A

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

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7
Q

What are absolute contra-indications to transplant?

A

Other organ failure

Malignancy within the last 5 years

Significant peripheral vascular disease

Drug, nicotine, alcohol dependancy

Active systemic infection

Microbiological issues (M. abscessus)

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8
Q

What are the relative contraindications?

A
  • 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)
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9
Q

What are the pschosocial issues attached to a lung transplant?

A

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

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10
Q

Freeman Hospital Lung Transplant Statistics (2015)

A
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11
Q
A
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