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Wheeze in Children Aged Over One: Presentation and Management

This tutorial focuses on the presentation and management of wheeze in children aged over one year. It deals in detail with asthma, which is the most common cause, and discusses two other common causes, foreign body aspiration and congenital airway abnormalities. A range of evidence-based prevention and management strategies are described.This tutorial is aimed at all nurses who come into contact with children, especially those working in primary care or emergency departments. It is one of three on the diagnosis, management and prevention of wheeze in children. We strongly recommend that nurses complete the tutorial titled Wheeze in Infants and Children: Assessment, Diagnosis and Acute Indications, before starting this one.

$25 
3 CPD hours
 

Nursing and Midwifery CPD Hours
HSE 3 CPD hours
RCNA 3 CNA points
Overview
This tutorial focuses on the presentation and management of wheeze in children aged over one year. It deals in detail with asthma, which is the most common cause, and discusses two other common causes, foreign body aspiration and congenital airway abnormalities. A range of evidence-based prevention and management strategies are described.
This tutorial is aimed at all nurses who come into contact with children, especially those working in primary care or emergency departments. It is one of three on the diagnosis, management and prevention of wheeze in children. We strongly recommend that nurses complete the tutorial titled Wheeze in Infants and Children: Assessment, Diagnosis and Acute Indications, before starting this one.
About the Authors

Tara De Koning RN, Grad Dip (Child and Family Health), Master of Nursing (Nurse Practitioner)

Tara has over 16 years’ experience in child health across primary, tertiary and community/ambulatory health care settings. She completed a nurse practitioner master's degree in New Zealand that focused on child health.

Sarah Adams RN, DipAppSci (Nsg); BHS (Nsg); Paediatric cardiothoracic certificate & GC NIC; MN (education)

Sarah has more than 21 years experience in critical care nursing and specialises in paediatrics and neonates. Sarah's areas of interest include retrieval, trauma & cardiac. Sarah has a passion for education and has worked in education positions in the public hospital and university sectors. Sarah is currently employed as a nurse educator in newborn care at a major tertiary Children's hospital. Sarah has commenced a second Master's degree in nursing with a view to becoming a Nurse Practitioner.

Learning Objectives
  1. Be able to identify the most common causes of wheeze in older children;
  2. Be able to identify the best management strategy for a child presenting with wheeze;
  3. Understand the pathophysiology of asthma in older children;
  4. Be familiar with a range of evidence-based asthma prevention and management strategies.

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