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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. 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

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  1. Pediatric Asthma Teaching at Denver Health Erin Hoffman Marsha Davis Laura Sawicky Erin Blakeslee

  2. 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

  3. Patient Condition Diagnostics: • Chest x-ray • Spirometry • ENT Specialist Results: • This patient’s spirometry results were consistent with a diagnosis of mild persistent asthma

  4. 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

  5. Patient Condition Treatment Modalities: • Allergen Control • Remove environmental triggers and allergens • Drug Therapy • Corticosteroids (oral or inhaled) • Beta-adrenergic agonists (Albuterol)

  6. Existing Teaching Resource • Educational booklet, containing text with few pictures. • Educational DVD for asthma management.

  7. New Teaching Tool

  8. 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!

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