Full Course Description

MOMMY, I Don't Feel So Good!

Program Information

Outline

OUTLINE

Well Child

Assessment/Diagnosis of Problems by Age Group
- How to take a thorough history
Growth & Development: What’s Normal?
- Developmental milestones
- Assessment of development
Anticipatory Guidance: “What Do You Want to Look Out For?”
- Through the 1st year
- Toddler
- School age
- Teens & beyond
More Vaccines?
- HPV: It’s not just for girls
- Pertussis
- Influenza
- What about autism?
Pediatric Lab Interpretation
- Identifying baseline testing
- Can an allergy test be done in primary care?
- Interpreting results

Presenting Pediatric Problems

Infancy
- RSV
- Failure to thrive: Metabolic disorders, heart disease
- Meningitis
School Age
- Obesity
- Hypertension
  - Pre-hypertension vs. hypertension
  - Causes: Renal, cardiac, lifestyle
  - Eval/treatment: Dietary guidelines 2010, medications, link to cholesterol
Adolescents/Teens
- Headaches
- Depression/suicide
- Drug Abuse
- Prescription drug overdose
- Street names

Pediatric Emergencies

Allergies/anaphylaxis
Seizures
Drowning

Parental Guidance

Concussions & Sports Injuries
- New International Guidelines
  - Return to play
  - Treatment strategies vs. adults
- Symptoms/Long-term complications
- Weight lifting/performance enhancing substances
Antibiotic Resistance/MRSA
Energy Drinks
Life-Threatening Allergies
Internet Safety

The Joint Commission

Patient safety goals: What are they?
Medication safety
Staff communication
Preventing infection
Risk Management: A 7-step approach to protect yourself
Patient Satisfaction Metrics
Discharge information

Objectives

Analyze the research on vaccine recommendations and relay data to parents in a non-confrontational approach.
Differentiate between a well child physical and a sports physical in relation to both history and exam.
Explain the steps to determine etiology of pediatric hypertension.
Compare presentation between a typical migraine headache vs. a headache requiring referral to a neurologist.
Interpret lab data and apply the findings to clinical practice.
Demonstrate knowledge of the AAP’s recommendations on weight lifting.
Apply your knowledge of the pathophysiology of drowning and recommended treatment strategies.

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Nurse Educators, Physician Assistants

Copyright : 05/16/2014

Life-Threatening Pediatric Emergencies

Program Information

Outline

Pediatric Stabilization & Critical Assessment Goals

Essential data to collect
Primary and secondary survey:
Assessment and interventions
Immediate interventions for life-threatening situations
Hypothermia and its multisystem implications
Code medications: The “Big 3”

Technology: The Benefits & the Pitfalls

Respiratory devices: Delivery systems, oxygen therapy, mist, humidification
Pulse oximeter
Interpreting key laboratory findings
EEG and lumbar puncture

Suspecting Child Abuse

Shaken baby syndrome
Munchausen by proxy
Child maltreatment
Mandatory reporting

Infectious Diseases

Group b strep
Bacterial/viral meningitis
Toxic shock syndrome
Herpes: Simplex and encephalitis
Kawasaki disease
Rheumatic Fever
Influenza
Fever and hyperthermia management

Ingestions & Poisoning

GI decontamination
“Pharming” implications
OTC medications: Cold/cough preparations, acetaminophen, NSAIDs
Alcohols, hydrocarbons
Lead intoxication

Gastrointestinal Emergencies

Pyloric stenosis
Necrotizing enterocolitis
Malrotation/Bowel obstruction
Appendicitis
Diarrhea and dehydration:
Evidence-based guidelines

Trauma in Children

Sports and non-sports related injuries
Abdominal trauma: Bowel perforation, spleen & liver laceration
Chest trauma: Pulmonary contusion, pneumothorax, hemothorax, flail chest
Neurological involvement:
Head trauma: TBI, cerebral edema and concussions
Seizures

Cardiovascular Emergencies

Hypertrophy cardiomyopothy
Cardiomyopathies

Anaphylaxis

Prevention & initial/acute management
Anaphylactic shock
Optimizing use of the Epi pen

Tonsillitis

Croup: Viral and bacterial

Respiratory Emergencies: Upper Airway

Pneumonia
Bronchiolitis (RSV/Non-RSV)
Pertussis
Asthma

Objectives

Explain the latest strategies useful in evaluating pediatric life-threatening situations.
Formulate both non-pharmacological and pharmacological options used to manage pediatric life-threatening situations.
Differentiate between various infectious diseases and the most up-to-date interventions for each.
Choose the current treatment recommendations for the most commonly ingested agents.
Apply the latest evidence-based guidelines for optimal treatment of significant diarrhea and dehydration.
Assess a variety of traumatic injuries seen in children and the best practice initial response to make the difference in outcomes.
Determine the optimal and immediate interventions for the cardiac emergencies likely to present in children.
Explain the medication management of distributive anaphylactic shock.
Compare clinical presentation between various lower and upper airway diseases.

Target Audience

Nurses, Physician Assistants, and other Healthcare Professionals

Managing Pediatric Respiratory Conditions

Program Information

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

Apply the clinical essentials necessary for an efficient and comprehensive respiratory assessment.
Interpret assessment findings in children with alterations in respiratory status.
Determine underlying pathophysiology for both upper airway and lower airway conditions.
Compare and contrast cause versus symptoms of upper versus lower airway conditions when selecting appropriate management strategies.
Differentiate the management of both urgent and emergent respiratory conditions.
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