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

Copyright : 08/22/2014

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

  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.

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Target Audience

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

Copyright : 12/08/2016