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Pediatric Asthma Teaching at Denver Health
Erin HoffmanMarsha DavisLaura SawickyErin Blakeslee
Patient ConditionPresentation:
❖ 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 ConditionDiagnostics:
❖ Chest x-ray❖ Spirometry ❖ ENT Specialist
Results:❖ This patient’s spirometry results were consistent with
a diagnosis of mild persistent asthma
Patient ConditionPathophysiology:
❖ 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 ConditionTreatment Modalities:
❖ Allergen Control➢ Remove environmental triggers and allergens
❖ Drug Therapy➢ Corticosteroids (oral or inhaled)➢ Beta-adrenergic agonists (Albuterol)
Existing Teaching Resource
❖Educational booklet, containing
text with few pictures. ❖Educational DVD for asthma
management.
New Teaching Tool
❖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!
What We Learned