Airway mucus plays a critical role in protecting the respiratory tract against toxins and microorganisms. Disease states associated with abnormal mucus production or airway clearance increase the risk of infection and airway obstruction, and mucoactive medications for airway clearance are frequently prescribed. However, there is a lack of evidence-based support for many of these agents. As specialists in caring for patients with cardiopulmonary conditions, respiratory therapists play a vital role in optimizing the use of airway clearance medications.
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Florida Board of Respiratory Care (CEBroker Provider #50-290)
Louisiana State Board of Medical Examiners - Respiratory Therapy (CEBroker Provider #50-290)
Mississippi State Department of Health Bureau of Professional Licensure Respiratory Care Practitioners (CEBroker Provider #50-290)
This program has been approved as non-traditional Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd. Suite 100 Irving TX 75063.
Alabama State Board of Respiratory Therapy (CEBroker Provider #50-290)
Oklahoma Board of Medical Licensure and Supervision- Respiratory Therapy (CEBroker Provider #50-290)
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Physiology and Therapeutic Interventions
Physiology of Airway Mucus Secretion and Clearance
Airway Clearance Techniques
Mucoactive Medications
Recommending Medications
Summary
Section 3: Conditions Associated with Mucus Abnormalities
Asthma
Cystic Fibrosis
Non-CF Bronchiectasis
Chronic Obstructive Pulmonary Disease
Inhalation Injury
Neuromuscular Disease and Respiratory Muscle Weakness
Postoperative Atelectasis
Intubation with Mechanical Ventilation
Bronchitis
Cough in the Common Cold
Cough in Palliative Care
Transtracheal Oxygen Therapy
Summary
Section 4: Medications to Enhance Airway Clearance
Expectorants
Thiols and Thiol Derivatives
Inhaled Anticoagulants
Hypertonic Saline
Mannitol
Recombinant Human Dornase Alfa (Pulmozyme®)
Beta-Agonists
Methylxanthines
Glucocorticoids
Macrolide Antibiotics
Anticholinergics
Hydration
Novel Therapies
Summary
Section 5: Interdisciplinary Collaboration
Importance of Interdisciplinary Collaboration
Techniques for Interdisciplinary Collaboration
Protocol-Directed Respiratory Care
Summary
Section 6: Clinical Vignette
Meet Johnathan
Section 7: Conclusion
Course Summary
Course Contributors
References
Gabrielle Ruggiero has a dual major Bachelor of Arts degree in Biochemistry/Molecular Biology and in Psychology, and a Doctor of Pharmacy degree. She works as a pharmacist at a community hospital and its outpatient chemotherapy infusion center. She also enjoys writing and has earned an Essential Skills Certificate from the American Medical Writers Association. Disclosure: Gabrielle Ruggiero, PharmD, BCPS has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.Writer: Kimberly Workman, MA
Ms. Workman is an Instructional Designer at Relias. She has a Master of Arts in Technology and Communication, as well as graduate certificates in Public Health, Epidemiology, and Digital Communications. Ms. Workman has a background in writing and designing online continuing medical education for physicians and other health professionals on multiple educational platforms, including web-based, game-based, and immersive learning environments. She has also used simulation training extensively to connect learning to real-world environments. Disclosure: Kimberly Workman, MA discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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