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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.

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

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 an 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 is 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.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

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