Stephen Jones – Managing Pediatric Respiratory Conditions

Acute illnesses and flares may be present in children with respiratory problems.-Life expectancy and chronic conditions are increasing-These are serious complications.

Stephen Jones – Managing Pediatric Respiratory Conditions

• Urgent & Emergent Respiratory Situations
• Upper vs. Lower Airway Conditions
• Critical Assessment Clues to Cause
• Pharmacological, Technological & Non-Pharmacological management
• Unique Airway Challenges in Children

I can’t breathe, my chest hurts, I can’t stop coughing… All of these sound familiar?

Acute illnesses and flares may be present in children with respiratory problems.-Life expectancy and chronic conditions are increasing-There are serious and life-threatening complications. You can help them if they are not threatening. Stephen JonesMS, RN/PNP, ET will give you the knowledge to manage the many respiratory conditions that can affect children. He will talk about the non-pharmacological and pharmacological aspects of pediatric respiratory conditions.-The pharmacological management of upper or lower respiratory conditions. This includes critical assessment clues and emergency intervention. This fast-paced course is recommended.-paced, informative and upbeat seminar and you’re guaranteed to leave this day with the skills and knowledge you need to immediately improve outcomes for your pediatric patients.

OUTLINE

Pulmonary Assessment & the “5” Fingered Assessment

• Adventitious Lung Sounds
• Clubbing, Pallor & Cyanosis
• Oxyhemoglobin Dissociation Curve
• Ventilation, Diffusion & Accessory Muscles
• Diagnostics Consideration:
  • Pulmonary Function Testing
  • Airway Clearance: Techniques & Technologies
  • The Do’s & Don’ts of Suctioning
  • What is the Chest X?-ray is Telling Your Story
  • Lab Values: Normal vs. Baseline
  • How to determine critical clues

Unique Airway Challenges

• Pediatric The Patient is Not a Small Adult
  • Anatomical and physiological differences
  • Increased Oxygen Consumption Rates
  • The Allergic Cascade
    • The Concept of Linked Airways
    • Airway Inflammation
  • Hygiene Hypothesis

Non-Pharmacological Management and Technological Management

• Oxygen Therapy
  • Devices that can handle both high and low flow rates
• What does pulse oximetry really mean?
• Chest X-Ray interpretation
• Mist/Humidification
• Devices to deliver medication
  • MDI/Spacer
  • Nebulizers
  • Dry Powder Inhalers

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Pharmacological management

• Inhaled
  • Antimicrobial
  • Anti-Inflammatory
  • Anti-Reactive
• Topical
  • Antimicrobial
  • Anti-Inflammatory
  • Anti-Pyretic
• Asthma Treatments
  • Controller
  • Rescue
• Steroids: IV vs. Oral
• Antimicrobials
• Antihistamines, First and Second Generation
• Not-for-Sale Medications

Urgent & Emergent Respiratory Conditions

• Tips for quick identification
• For:
  • Flail Chest
  • Rib Trauma
  • Pneumothorax
  • Anaphylactic Reaction
  • Foreign Body Aspiration
  • Status Asthmaticus

Identification & Treatment of Upper Airway Conditions

• Tonsillitis
• Laryngitis/Laryngospasm
• Croup: “The Good, the Bad, the Ugly”

Lower Airway Treatment Options and Risk Factors Conditions

• Pneumonia
• Bronchiolitis
• Interstitial Lung Disease (ILD)
• The 2 Cousins: RSV & Human Metapneumovirus
• Asthma

OBJECTIVES

1. Use the clinical basics to perform a comprehensive and efficient respiratory assessment.
2. Interpret the assessment results in children with altered respiration status.
3. Determine the root cause of upper and lower-airway conditions.
4. It is helpful to be able to contrast the causes and symptoms of upper or lower airway conditions in order to choose the best management strategies.
5. You should distinguish between urgent and emergent conditions in your management of respiratory problems.
6. Talk about non-There are many pharmacological, technological, and pharmacological treatments that can be used to treat pediatric respiratory problems.