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tonsillitis and adenoiditis (assessment and common findings (throat pain,…
tonsillitis and adenoiditis
pathophysilogy
infection of the tonsils and adenoids may be secondary to upper respiratory tract infection.the tonsils become oedematous and hyperaemic.a thin , white membrane that peels away easily without bleeding forms over the tonsil
assessment and common findings
throat pain
difficulty in swallowing
snoring
generalised malaise
fever
headache
stiff neck
bad breath
enlarged glands(lymph nodes)
nursing management
encourage rest
increase fluid intake
saline gargles
provide prescribed broad spectrum antibiotics
surgical management
post tonsilloadenoidectomy
place in recovery positon until awake
observe for signs of swallowing
provide with kidney dish fro spitting
inspect mouth and oropharynx for fresh blood
monitor vital signs for 15-30 min
provide with prescribed antiboitics
start feeding soft fluid diet
notify patient about throat pain
note for any infection
patient teaching
advise patient to seek help if bleeding persists after being discharged
hygiene on the operative site
diagnostic tests
throat swab
complete blood cell count
treatment
encourage rest
provide fluids
provide comforting foods and beverages
prepare saltwater gargle
humidify air
often lozenges
avoid irritants
treat pain and fever
provide antibiotics
causes
common viruses
bacteria - streptococcus pyogenes
risk factors
young age
frequent exposure to germs