Certified Pediatric Nurse (CPN)

When should pancreatic enzymes be administered to a child with cystic fibrosis?

1. 30 minutes before meals

2. Immediately before meals

3. In the middle of the meal

4. 30 minutes after the meal

The correct answer is: Immediately before meals

Administering pancreatic enzymes immediately before meals is crucial for children with cystic fibrosis. This timing ensures that the enzymes are present in the digestive system when food enters the stomach, which maximizes their effectiveness in aiding the digestion and absorption of nutrients. Cystic fibrosis leads to thick mucus that can obstruct pancreatic enzyme release, resulting in insufficient enzyme availability for proper digestion. By giving the enzymes just before eating, caregivers can help manage the associated complications and improve the child's nutrient absorption, growth, and overall health. Other options suggest administering enzymes either too early or too late, which would not align with the optimal digestive timing. For example, taking enzymes 30 minutes before a meal could lead to the enzymes being ineffective by the time food is consumed, while taking them during or after a meal may mean that digestive processes have already started, reducing the enzymes' ability to assist effectively. Thus, the correct timing is critical for achieving the best outcomes in managing cystic fibrosis-related digestive issues.