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Review the pathophysiology that occurs during an asthmatic attack and provide a brief summary.
Please refer to the National Heart, Lung, and Blood Institute (NHLBI), National Asthma Education and Prevention Program (NAEPP): Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma, Full Report 2007 and quick reference.
- What is the prevalence of asthma in the pediatric population? What factors contribute to more asthma attacks and what factors contribute to less asthma attacks over the past 10 years?
- Identify the allergic and non- allergenic triggers of an asthmatic attack.
- What are the clinical manifestations of asthma?
- Select 5 differential diagnoses and explain how you as a nurse practitioner would differentiate each one before determining that the child is having an asthmatic attack.
- Identify the signs and symptoms you would expect the patient to exhibit during an asthmatic attack. Utilize the stepwise approach proposed by the NIH (2007) Asthmatic Guidelines: intermittent, mild persistent, moderate persistent, severe persistent.
- What are the current treatment protocols for intermittent, mild persistent, moderate persistent and severe persistent asthma for infants and children 0-4 years of age, for children 5-11 years and for youths 12 years of age and older that have been recommended by the National Institutes of Health Expert Panel 3 (2007), and the National Heart, Lung and Blood Institute (NHLBI) 2007.
- What are the primary goals for management of children who have chronic asthma?
- What type of educational program needs to be implemented for the patient/family in order to set up the foundations that will help the child and family maintain control over the asthma with the least amount of physical and emotional sequelae?
- Under what conditions should the nurse practitioner consult/refer to the physician/specialist?