A 9-month-old child presents with a history

A 9-month-old child presents with a history of poor growth and a chronic cough. He was post-term (41 weeks’ gestation), born to a 30-year-old gravida 1 para 1 mother with an uncomplicated pregnancy. Soon after birth, he developed respiratory distress and was admitted to the neonatal intensive care unit, where he was mechanically ventilated for 2 days and discharged after a week. He was initially breastfed, but due to frequent vomiting and loose bowel movements, he was changed to formula feeding. Despite trials of different types of formula, he continued with bloating, diarrhea, and failure to thrive (weight < 5th percentile). He developed a daily cough and some respiratory difficulty. At 6 months of age, he was again hospitalized for respiratory dihave loose, large, greasy, foul-smelling stools and failure to thrive. A sweat test and genetic testing were recommended. At this time the patient is alert and in no distress, heart rate is 120 beats per minute, respiratory rate is 40 breaths per minute, blood pressure is 85/65 mm Hg, temperature is 37.5°C, and oxygen saturation is 96% on room air. He continues to be small for his age. Heart regular. Lungs with good aeration and mild wheezing and rales. Color and perfusion are good. Sweat test revealed a weight of 120 mcg and a chloride concentration of 105 mmol/L. Cystic fibrosis mutation analysis from the genetic testing was positive for one copy of Delta F508 and one copy of R1066C 1. What will be the key pillar of care for the patient newly diagnosed with CF? 2. What is the most common pathogen present in patients with CF? 3. This patient is in the < 5th percentile for weight. What therapeutic intervention should be implemented

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