Digital Seminar

Respiratory Medication Updates for Advanced Practice Clinicians

Name: Respiratory Medication Updates for Advanced Practice Clinicians
SKU: POS078405

$249.99 Standard

Nurse practitioners, physician assistants and physicians have confided in me that they felt apprehension ordering respiratory medications due to an inability to stay current on pharmacology best practices and the complexity required to manage multiple conditions or symptoms at once. It can feel overwhelming. I certainly understand that we want to help our patients achieve their best outcomes. We also certainly don’t want to contribute to dire patient consequences.

I have been able to assist countless healthcare providers to overcome their prescriptive and administration fears. One particular nurse stands out in my memory. She was scared. And absolutely refused to give a prescribed medication to a patient on our unit. We went together, and both delivered the medication that the patient needed. After a “thank you” and many years later, she became a highly respected nurse practitioner with the Pulmonary Division of our institution. She never gave up and kept asking questions. She wanted to learn, and that curiosity to learn propelled her to high achievement in her specialty.

As we walk together through this essential content, I will present real world case studies to reinforce key points, whether you work in an inpatient or outpatient setting. I will talk through assessment findings and laboratory results to guide expert level pharmacology decisions. You will conclude this comprehensive respiratory medication update with all the information, the evidence and best practice guidance to feel confident with your prescriptive decision making.

Here's What You'll Learn

Pulmonary Anatomy, Physiology & Lung Receptors

Pulmonary ventilation key factors
Improve diffusion of CO2 and O2 are dependent on a specific variable
Variables that affect the transport of CO2 and O2 at the cellular level
Muscarinic and beta-2 receptors in the lung are vital for airway dilation – but how much?
Club cell and columnar cell for airway patency
Role of the sympathetic and parasympathetic nervous system in airway disease

Alpha-1 Antitrypsin Deficiency

Why are levels of alpha-1 antitrypsin reduced in some people?
Medications to treat alpha-1 antitrypsin deficiency
Monitoring patient parameters after administering medications

Asthma – Not Just Bronchodilators Anymore

How is asthma diagnosed?
Role of white blood cells, histamine & the arachidonic pathway in asthma
Medications that affect IgE mediator release - a major contributor to asthma
Global Initiative for Asthma (GINA) medication options
Role of corticosteroids in asthma treatment
Short acting beta agonists (SABA) & long-acting beta agonists (LABA) - the difference and monitoring parameters
Muscarinic antagonists, leukotriene modifiers & phosphodiesterase inhibitors - must know indications and contraindications to treat the asthma patient
Monoclonal antibodies for asthma relief

Chronic Obstructive Pulmonary Disease (COPD) – Long Term Pharmacologic Therapies

COPD causes, symptoms and diagnostic tests
Non-pharmacologic treatments
SABA and LABA - when and how much
Inhaled corticosteroids alone or in combination with bronchodilators
Vaccines are a must – which ones and at what age to administer

SARS-CoV2, COVID-19 – what is new … A LOT!!!

Pathophysiology of SARS-CoV2
Is the virus only transmitted via air … you have to see this data?
Laboratory parameters for SARS-CoV2
How effective are all those COVID-19 vaccines?
Which antiviral medications are FDA approved and which are still in clinical trials?
Baricitinib and Tocilizumab show a lot of promise
So, what about Ivermectin – data on its effectiveness
Dexamethasone is effective, but only in certain patient populations

Cystic Fibrosis (CF)

Role of genetics and genetic testing in development of CF
CF affects more than the lungs
What medications are prescribed and routes of administration
Role of monoclonal antibodies – what you must monitor in your patient for these medications

Tuberculosis (TB): Still prevalent & Highly Contagious

What is Mycobacterium tuberculosis and how is it detected?
Geographic concerns for newly diagnosed and multi-drug resistant-TB
First line medications for drug susceptible TB (doses, how often & how long to take)
Multi-drug resistant TB treatments

Pulmonary Hypertension

Diagnosis of pulmonary hypertension
12-lead ECG results in a patient with pulmonary hypertension
World Health Organization (WHO) treatment classifications
How to choose between calcium channel blockers, phosphodiesterase inhibitors, endothelin receptor antagonizes and prostacyclin agonists

Acute Bronchitis – Lower Respiratory Tract Infection

Bacterial and viral pathogens associated with acute bronchitis
Clinical features - from days to weeks after infection
Role of dextromethorphan – watch out for this side effect
Decide between an anti-viral or antibacterial - look for this in your patient

Aspergillosis

Causes and who is at risk for aspergillosis
Voriconazole, Posaconazole, Amphotericin B – these are the “must do” monitoring parameters

Legionnaires Disease

Which test should be used to diagnose Legionnaires Disease - urine, blood culture or polymerase chain reaction
Patient susceptibility to Legionnaires Disease
Ciprofloxacin, Moxifloxacin, Clarithromycin, Erythromycin, Amikacin, Levofloxacin, Azithromycin - look carefully at the indications and contraindications

Pertussis (Whooping Cough) – Still Present Despite Vaccinations

Three phases of pertussis
Medications and monitoring parameters
Pharmacology for cough suppression

Pneumonia

Community acquired, hospital acquired & ventilator associated
Community acquired treatment options
Options for antibiotics based on patient history
Hospital acquired pharmacology
How to treat methicillin resistant staphylococcus aureus

Pneumocystis Pneumonia

What is the protozoan causing this?
Trimethoprim-sulfamethoxazole is not for everyone - renal adjustment? Pregnancy?
Atovaquone indications - contraindications and monitoring
Use of Pentamidine and Primaquine with Clindamycin – how much and how long

Everything You're Getting

More than 6 hours of video content
CE information to come

Handouts and resources

Meet Your Experts

Paul Langlois, APN, PhD, CCRN, CCNS

Paul Langlois, APN, PhD, CCRN, CCNS, is a critical care clinical specialist in the surgical, medical, neurologic, burn, CCU, and trauma ICUs of Cook County Hospital, Chicago. Drawing on over 40 years of experience assessing and managing patients with life-threatening diseases, Dr. Langlois provides advanced-level training to nurses, nurse practitioners, physician assistants, respiratory therapists, and physicians.

Dr. Langlois is committed to providing the highest quality of care to patients through advanced education. His presentations are evidence-based, timely, and go beyond content review to sharpen the clinical reasoning underneath it, using illness scripts, anticipatory thinking, and layered case studies to help experienced clinicians reason out loud rather than simply recall answers. As a bedside clinical nurse specialist, he has developed several institution-wide protocols for the multidisciplinary assessment and management of patients.

His presentations are enthusiastically delivered and offer highly practical tips that help make the most challenging concepts easy to understand, from cognitive-bias traps that shape a shift to the SBAR calibration that gets a "come now" call heard the first time. Linking knowledge to clinical practice is the goal of every educational program, and Dr. Langlois builds that link through near-miss scenarios and "what would you do?" cases designed to sharpen judgment, not just test it.

Speaker Disclosures:
Financial: Dr. Paul Langlois has employment relationship with Cook County Hospital and Emergency Care Consultants. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Paul Langlois is a member of the American Nurses Association, the American Association of Critical Care Nurses, and the Society of Critical Care Medicine.

More taught by Paul Langlois, APN, PhD, CCRN, CCNS

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Media Type:: Digital Seminar
Product Code:: POS078405
Duration:: 6 hours, 25 minutes
Copyright:: Sep 13, 2021
Closed Captions:: Available
Format:: Audio and Video

Planning Committee Disclosure - No relevant relationships

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.

Credit Notes:

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information: Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval.
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. 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 profession's standards.

For Planning Committee disclosures, please see the statement above. For speaker disclosures, please see the faculty biography. A small portion of the material for this CE activity was developed with limited assistance from generative AI. All AI-generated information was reviewed for accuracy by the instructor, an independent content reviewer, or PESI staff. Evergreen Certifications is owned by PESI, Inc. Counselors please note: This activity is not offered for NBCC CE hours.

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This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

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.

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This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.