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1. Explain the appropriate utilization of various technologies used with respiratory conditions and their clinical significance.
2. Recommend appropriate interventions for the child manifesting either an upper or lower respiratory condition.
3. Determine the essentials necessary for an efficient and comprehensive gastrointestinal assessment and management plan as it relates to the "zones".
4. Analyze the impact of inappropriate diet and nutrition on the pediatric GI Tract.
5. Evaluate both the pharmacological and nonpharmacological management of selected non-surgical GI conditions: diarrhea, vomiting, constipation, and "spitting up".
6. Examine the underlying causes and triggers of temperature dysregulation in determining appropriate evidence-based treatment.
7. Contrast between causes and symptoms for the child experiencing dehydration and/or diarrhea.

Assessment: Advanced Skills for Pediatric History-Taking and Physical Assessment

• Developmentally- and age-appropriate techniques for assessment
• Determining cause versus symptom - and underlying triggers
• Non-pharmacological and pharmacological choices
• Laboratory values: System-specific and significance to underlying condition

Best Responses to Early Signs of Acute Respiratory Changes: Recognize and Respond to Early Signs of Distress

• "5 fingered assessment"
• Non-pharmacological: Oxygen therapy, mist/humidification, airway clearance, pulse oximeter, technologies to deliver medications
• Pharmacological choices: OTC versus prescription antimicrobials, "RAD/asthma", and "cold & cough"
• Apnea: Central and obstructive
• Upper respiratory/ENT conditions: Sinusitis, tonsillitis, croup, laryngomalacia
• Lower respiratory conditions: Infectious (bronchiolitis/RSV and HMV; pneumonia) and anatomical (asthma)

Solve the Complexities of the Pediatric GI Tract

• GI physical examination: Differentiating the "zones" of the GI tract and their functions
• What about the hygiene hypothesis
• Diet and nutrition components: Vitamins, minerals, electrolytes, probiotics
• Underlying triggers: Environmental, infectious, anatomical
• Pharmacological and non-pharmacological management: "Spitting up", GER and "sensitivities", colic, constipation

Fever, Temperature and Diarrhea in Children: Avoid the Mis-management Mistakes

• History-taking and physical assessment strategies
• Non-pharmacological and pharmacological: Antimicrobials, antipyretics, anti-diarrheal
• Temperature measurement: Pathophysiology of fever versus hyperthermia and "fever phobia"
• Dehydration: Concepts of fluid and electrolyte management and tonicity
• Diarrhea: Pathophysiology and evidence-based management guidelines (enteral and parenteral)

Stephen Jones, MS, RN, PNP, ET, is a fulltime Pediatric Clinical Nurse Specialist/Nurse Practitioner and Enterostomal Therapist, practicing at The Children’s Hospital @ Albany Medical Center in Albany, NY. In this multidimensional role, Stephen covers all inpatient pediatric units, including the PICU, as well as the pediatric Pulmonary & Cystic Fibrosis clinic. As an Enterostomal Therapist specializing in infants and children, Steve serves as a resource and consultant around the country. He has published articles in numerous nursing journals, authored chapters in several pediatric textbooks, and presented posters at numerous national conferences. Steve was instrumental in establishing the original pediatric transport team, pediatric critical care courses and pediatric core curriculum at his hospital, and initiation of the pediatric PICC program. In addition to his active and busy clinical practice, he is also the founder and principal of Pediatric Concepts, a company dedicated to providing quality educational programs for healthcare professionals.

Stephen has focused his nursing career entirely in pediatrics, previously serving in various staff positions within the PICU and general pediatric units. He continues to be active in all arenas of pediatric nursing, as well as a member of his local state NP association. Stephen holds undergraduate degrees from Union College and Skidmore College, while his graduate degree is from the University of Rochester. He has been on and continues to participate via speakers bureaus for a variety of pharmaceutical companies and continues to lecture extensively to a diverse audience through North America, including healthcare professionals, as well as parents and families. Steve’s long-standing passion for optimal and evidence-based pediatric care will be evident throughout this presentation. You will find him to be practical, informative, entertaining and motivating.
Speaker Disclosures:
Financial: Stephen Jones is the founder of Pediatric Concepts and has an employment relationship with The Children's Hospital - Albany Medical Center, Albany Medical College and Russell Sage College. He receives a speaker honorarium from Chiesi USA. He is on the advisory board of Chiesi, Novartis, Genentech, Mylan. Stephen Jones receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-Financial: Stephen Jones is a member of The Nurse Practitioner Association of New York State.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 5/10/2022
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Pharmacology Nurse Practitioners
This self-study program offers 120 instructional minutes of pharmacology content which is designed to qualify for 2.0 contact hours toward your pharmacology requirement.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

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