By M.D., Lynn M. Taussig, M.D. James C. Cunningham

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Extra info for An Introduction to Cystic Fibrosis For Patients and Families 5th Edition

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Call your CF care center if you think you or your child are having a pulmonary exacerbation. 41 How CF Affects the Body Signs of a pulmonary exacerbation: • More coughing and/or wheezing • Chest congestion • More mucus (sputum, phlegm) • Change in sputum color (to dark yellow or green) • Sometimes blood-streaked mucus • Tiredness, less energy • Less able to exercise • Lower lung function on pulmonary function tests (PFTs or breathing tests) • Weight loss and/or poor appetite • Sometimes fever Tests Your CF care team learns a lot by hearing your report of symptoms and how you or your child is feeling and acting.

Remember, extra fluids and salt should be taken when exercising and sweating more. ) Inhaled medications Inhaled medicines are given by aerosol or metered dose inhaler (MDI). Aerosols are mist treatments made from liquid medicines. The drug is put in a cup (called a nebulizer) and attached to a small air compressor. Some of these medicines are mixed with saline (salt water) in the nebu- lizer. The compressor blows air through the nebulizer cup making a mist. The mist is inhaled through a mouthpiece or mask for several minutes.

ACTs help people with CF stay healthy. ACTs do not cure CF. Page 43 6. E All of the above are the purpose of inhaled medications in CF. Page 45 7. A, B, C For people with CF, it is true that exercise helps to loosen mucus in the lungs, strengthen breathing muscles and may cause coughing and help clear the airways. Exercise should NOT be avoided. Exercise is usually good for people with CF. Page 44 8. E In CF, antibiotics are used to do all of the above. Antibiotics may be used to treat both mild and severe lung disease.

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