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

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Talk with the CF dietitian or doctor before giving more or less enzymes. Pancreatic enzymes: 1. Help digest fats, proteins and carbohydrates (the three parts of food that give us calories). 2. Promote good weight gain. 3. Aid the absorption of many essential nutrients. Most people with CF take enzymes. How Enzymes Are Given Enzymes should be taken with meals and snacks. For infants and small children, the capsules may be opened. The beads in each capsule may be mixed in a small amount of soft acidic food, like applesauce, and given from a spoon.

Page 40 4. E All of the above symptoms occur when there is a pulmonary exacerbation. Page 42 5. A, C The purpose of airway clearance techniques (ACTs) in CF is to clear the airways and loosen the mucus so it can be coughed out of the lungs. CF cannot be caught from someone else. It must be inherited and it exists at birth. 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.

People with CF may have a. Treat severe cases of lung problems with sinusitis. disease. b. Nasal polyps occur in most b. Treat mild exacerbations of people with CF and must be lung disease. surgically removed. c. Work against staph and Pseudomonas. d. Treat lung infections caused by bacteria. c. Sinusitis is rare in people with CF and usually requires surgical treatment. e. Do all of the above. 51 How CF Affects the Body Answers To learn more, turn to the page number shown after the answer. 1. B It is true that almost every person with CF sooner or later gets lung disease.

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