Stephen Jones – PESI – Managing Pediatric Respiratory Conditions

Description

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Stephen Jones – PESI – 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?

Children with respiratory conditions may present with acute illnesses, flare-ups of chronic conditions or life-threatening complications. Whether you have experience caring for them every day or find yourself intermittently expected to provide pediatric care, it is imperative to be prepared to identify the condition and intervene appropriately. Stephen Jones, MS, RN, PNP, ET, will provide you with the knowledge you need to manage the numerous respiratory conditions that affect pediatric patients. He will discuss the pharmacological, technological and non-pharmacological management for upper and lower respiratory conditions including critical assessment clues and emergency interventions. Attend this fast-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.

Speaker

Stephen Jones, MS, RN, PNP, ET, is a fulltime Pediatric Clinical Nurse Specialist/Nurse Practitioner and Enterostomal Therapist, practicing at The Children’s Hospital @ Albany Medical Center in Albany, NY. In this multidimensional role, Stephen covers all inpatient pediatric units, including the PICU, as well as the pediatric Pulmonary & Cystic Fibrosis clinic. As an Enterostomal Therapist specializing in infants and children, Steve serves as a resource and consultant around the country. He has published articles in numerous nursing journals, authored chapters in several pediatric textbooks, and presented posters at numerous national conferences. Steve was instrumental in establishing the original pediatric transport team, pediatric critical care courses and pediatric core curriculum at his hospital, and initiation of the pediatric PICC program. In addition to his active and busy clinical practice, he is also the founder and principal of Pediatric Concepts, a company dedicated to providing quality educational programs for healthcare professionals.

Stephen has focused his nursing career entirely in pediatrics, previously serving in various staff positions within the PICU and general pediatric units. He continues to be active in all arenas of pediatric nursing, as well as a member of his local state NP association. Stephen holds undergraduate degrees from Union College and Skidmore College, while his graduate degree is from the University of Rochester. He has been on and continues to participate via speakers bureaus for a variety of pharmaceutical companies and continues to lecture extensively to a diverse audience through North America, including healthcare professionals, as well as parents and families. Steve’s long-standing passion for optimal and evidence-based pediatric care will be evident throughout this presentation. You will find him to be practical, informative, entertaining and motivating.

Speaker Disclosures:
Financial: Stephen Jones is the founder of Pediatric Concepts and has a employment relationship with The Children’s Hospital – Albany Medical Center, Albany Medical College and Russell Sage College. He receives a speaker honorarium from Chiesi USA. He on the advisory board of Chiesi, Novartis, Genentech, Mylan. Stephen Jones receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-Financial: Stephen Jones is a member of The Nurse Practitioner Association of New York State.

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 (PFT)
  • Airway Clearance: Techniques & Technologies
  • The Do’s & Don’ts of Suctioning
  • What the Chest X-ray is Telling You
  • Lab Values: Normal vs. Baseline
  • Determining Critical Clues

Unique Airway Challenges

• Pediatric 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 and Technological Management

• Oxygen Therapy
  • Devices used for both low and high flow rates
• Pulse Oximetry – What Does It Really Mean?
• Chest X-ray interpretation
• Mist/Humidification
• Medication Delivery Devices
  • MDI/Spacer
  • Nebulizers
  • Dry Powder Inhalers (DPI)

Pharmacological Management

• Inhaled
  • Antimicrobial
  • Anti-Inflammatory
  • Anti-Reactive
• Topical
  • Antimicrobial
  • Anti-Inflammatory
  • Anti-Pyretic
• Asthma Medications
  • Controller
  • Rescue
• Steroids: IV vs. Oral
• Antimicrobials
• Antihistamines: First and Second Generation
• Emergency Medications

Urgent & Emergent Respiratory Conditions

• Tips for Quick Identification
• Critical Interventions 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”

Risk Factors and Treatment Modalities for Lower Airway Conditions

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

Objectives

1. Apply the clinical essentials necessary for an efficient and comprehensive respiratory assessment.
2. Interpret assessment findings in children with alterations in respiratory status.
3. Determine underlying pathophysiology for both upper airway and lower airway conditions.
4. Compare and contrast cause versus symptoms of upper versus lower airway conditions when selecting appropriate management strategies.
5. Differentiate the management of both urgent and emergent respiratory conditions.
6. Discuss non-pharmacological, technological and pharmacological treatment modalities used in managing pediatric respiratory conditions.

Target Audience

Nurses, Physician Assistants, Respiratory Care Practitioners and other Healthcare Professionals

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