Mario is a 10-year-old fifth grader. At the age of 4, he was diagnosed with asthma

As a pediatric nurse practitioner, it is important that you properly assess, diagnose, treat, and refer (as appropriate) common, chronic, respiratory disorders. Providing anticipatory guidance and patient and family education is also vital.

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

TO PREPARE

• Review this week’s readings and resources.

LEARNING RESOURCES – these can serve also as reference.

• Marcdante, K. J., & Kliegman, R. M. (2019). Nelson essentials of pediatrics (8th ed.). Elsevier.

o Section 18, “Respiratory System” (pp. 507–533)

• Zitelli, B. J., McIntire, S. C., & Nowalk, A. J. (2018). Zitelli and Davis’ atlas of pediatric physical diagnosis (7th ed.). Elsevier.

o Chapter 17, “Pulmonary Disorders” (pp. 593–615)

• Friedman, D., Linnemann, R. W., Altstein, L. L., Islam, S., Bach, K.-T., Lamb, C., Volpe, J., Doolittle, C., St. John, A., O’Malley, P. J., Sawicki, G. S., Georgiopoulos, A. M., Yonker, L. M., & Moskowitz, S. M. (2018). The CF-CARES primary palliative care model: A CF-specific structured assessment of symptoms, distress, and copingLinks to an external site.. Journal of Cystic Fibrosis, 17(1), 71–77. https://doi.org/10.1016/j.jcf.2017.02.011

• Global Initiative for Asthma. (n.d.). Global Initiative for Asthma (GINA): What’s new in GINA 2021?  Download Global Initiative for Asthma (GINA): What’s new in GINA 2021?https://ginasthma.org/wp-content/uploads/2021/05/Whats-new-in-GINA-2021_final_V2.pdf

Note: Also includes content for COVID-19 and asthma.

• Hanlon, P. (2021). Pediatric spirometry in the PFT Lab. RT: The Journal for Respiratory Care PractitionersLinks to an external site., 34(3), 22–25. https://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=150565684&site=eds-live&scope=site&authtype=shib&custid=s6527200

• Hoch, H. E., Houin, P. R., & Stillwell, P. C. (2019). Asthma in children: A brief review for primary care providersLinks to an external site.. Pediatric Annals, 48(3), 103–109. https://doi.org/10.3928/19382359-20190219-01

• Lauwers, E., Ides, K., Van Hoorenbeeck, K., & Verhulst, S. (2020). Outcome measures for airway clearance techniques in children with chronic obstructive lung diseases: A systematic reviewLinks to an external site.. Respiratory Research, 21(1), 217. https://doi.org/10.1186/s12931-020-01484-z

• Root, J., & Small, L. (2019). Improving asthma control in children using the teach-to-goal method. Links to an external site.Pediatric Nursing, 45(5), 250–257.  https://search.ebscohost.com/login.aspx?direct=true&db=eue&AN=139486889&site=eds-live&scope=site&authtype=shib&custid=s6527200

CASE STUDY – This the case that the ESSAY BELOW use to respond.

Mario is a 10-year-old fifth grader. At the age of 4, he was diagnosed with asthma. He presents to the primary care office with his mother after yesterday’s visit to the emergency room for an asthma exacerbation. He reports worsening respiratory symptoms including coughing, shortness of breath, and chest tightness. These symptoms have worsened since the start of basketball season 2 weeks ago, but they became significantly worse over the weekend, after the adoption of a new kitten. In the emergency room, he was treated with albuterol via nebulizer and was discharged on a course of oral prednisone.