Nursing Care in Pediatric Respiratory Disease

Pediatric respiratory disorders are responsible for a number of acute and chronic health conditions and are a leading cause of pediatric emergency room visits and hospitalizations. More than ever, nurses and nurse practitioners must have an understanding of the anatomy, pathophysiology, diagnosis and state of the art treatments in pediatric respiratory disease as they are often the first to come in contact with and recognize respiratory problems in children. Nursing Care in Pediatric Respiratory Disease seeks to provide both nurses and nurse practitioners with this information in order to aid them in the diagnosis and treatment of children suffering from acute and chronic respiratory disorders. Nursing Care in Pediatric Respiratory Disease opens with an overview of the anatomy and physiology of the respiratory system, best practices for assessing respiratory symptoms in children, and common respiratory therapies and treatment methods. It then proceeds through an examination of varying acute and chronic upper and lower respiratory diseases spanning from asthma and cystic fibrosis to vocal cord paralysis and sinusitis in both hospital and ambulatory settings. Nursing Care in Pediatric Respiratory Disease provides nurses and other health care providers with a comprehensive and practical resource which allows them to collaborate and advocate more effectively, as well as educate both the family and child in management of respiratory disorders.

Pediatric respiratory disorders are responsible for a number ofacute and chronic health conditions and are a leading cause ofpediatric emergency room visits and hospitalizations. Morethan ever, nurses and nurse practitioners must have anunderstanding of the anatomy, pathophysiology, diagnosis and stateof the art treatments in pediatric respiratory disease as they areoften the first to come in contact with and recognize respiratoryproblems in children. Nursing Care in PediatricRespiratory Disease seeks to provide both nurses and nursepractitioners with this information in order to aid them inthe diagnosis and treatment of children suffering from acute andchronic respiratory disorders.Nursing Care in Pediatric Respiratory Disease opens withan overview of the anatomy and physiology of the respiratorysystem, best practices for assessing respiratory symptoms inchildren, and common respiratory therapies and treatmentmethods. It then proceeds through an examination of varyingacute and chronic upper and lower respiratory diseases spanningfrom asthma and cystic fibrosis to vocal cord paralysis andsinusitis in both hospital and ambulatory settings.Nursing Care in Pediatric Respiratory Disease providesnurses and other health care providers with a comprehensive andpractical resource which allows them to collaborate and advocatemore effectively, as well as educate both the family and child inmanagement of respiratory disorders.

Contributors ixPreface xiiiAcknowledgments xvReviewers xvi1 Pediatric pulmonary anatomy and physiology 3Neal Nakra, MD, FAAP2 Pediatric respiratory health history and physical assessment 38Concettina Tolomeo, DNP, APRN, FNP-BC, AE-C3 Principles of lung therapeutics 51Kathryn Blake, PharmD, BCPS, FCCP4 Neonatal lung disease: Apnea of prematurity and bronchopulmonary dysplasia 85Pnina Weiss, MD, and Concettina Tolomeo, DNP, APRN, FNP-BC, AE-C5 Lower airway disease 110Julie Honey, MSN, CPNP, and Michael Bye, MD, FAAP, FCCP6 Upper airway disorders 132Wendy S. L. Mackey, MSN, APRN-BC, CORLN, Melissa M. Dziedzic, MSN, CPNP, CORLN, and Lisa M. Gagnon, MSN, CPNP7 Asthma 188Concettina Tolomeo, DNP, APRN, FNP-BC, AE-C, Dawn Baker, MSN, CPNP, CCRC, and Pnina Weiss, MD8 Cystic fi brosis 221Antoinette Gardner, RN, MEd, CCRC, AE-C, and Kimberly Jones, MD9 Obstructive sleep apnea 247Linda Niemiec, MSN, RN, CPNP, and Lewis J. Kass, MD10 Primary ciliary dyskinesia and bronchiectasis 269Rosyln Bravo, BS, MS, APRN, CPNP, AE-C, and Anita Bhandari, MD11 Acute respiratory problems 286Marcia Winston, MSN, CPNP, AE-C, and Catherine Kier, MDIndex 314