pediatric asthma teaching at denver health n.
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Pediatric Asthma Teaching at Denver Health. Erin Hoffman Marsha Davis Laura Sawicky Erin Blakeslee. Patient Condition. Presentation: 5 year old male Difficulty breathing: SOB, tripod position Previous Hx: Treatment 6 months ago for a viral respiratory infection

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pediatric asthma teaching at denver health

Pediatric Asthma Teaching

at Denver Health

Erin Hoffman

Marsha Davis

Laura Sawicky

Erin Blakeslee

patient condition
Patient Condition

Presentation:

  • 5 year old male
  • Difficulty breathing: SOB, tripod position
  • Previous Hx:
    • Treatment 6 months ago for a viral respiratory infection
    • More recent treatment for similar respiratory symptoms. Follow up care was recommended, but family was unable
    • Respiratory episode once a week since
    • Father and Grandparents smoke inside the home
patient condition1
Patient Condition

Diagnostics:

  • Chest x-ray
  • Spirometry
  • ENT Specialist

Results:

  • This patient’s spirometry results were consistent with a diagnosis of mild persistent asthma
patient condition2
Patient Condition

Pathophysiology:

  • Inflammatory response to allergen or noxious stimuli (smoke)
  • Provokes:
    • Bronchospasm
    • Airway edema
    • Mucus secretion
  • Results in:
    • Airway resistance (requiring forced expiration)
    • Air trapped in lungs - no new air can get in
    • Wheezing from bronchospasm
patient condition3
Patient Condition

Treatment Modalities:

  • Allergen Control
    • Remove environmental triggers and allergens
  • Drug Therapy
    • Corticosteroids (oral or inhaled)
    • Beta-adrenergic agonists (Albuterol)
existing teaching resource
Existing Teaching Resource
  • Educational booklet, containing

text with few pictures.

  • Educational DVD for asthma management.
what we learned
What We Learned
  • No such thing as a universal technique.
    • Must be sensitive to the developmental level of each patient.
  • Child participation in treatment increases compliance.
  • It takes time and it takes a team!