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Tonsillitis - Coggle Diagram
Tonsillitis
Clinical manifestations
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A scratchy, muffled or throaty voice
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Nursing interventions
Assess the patient's vital signs to assist in creating an accurate diagnosis and monitor effectiveness of medical treatment
Remove excessive clothing, blankets, and linens, and adjust room temperature, to make it more comfortable for the patient
Administer medications (antibiotics) as prescribed e.g. penicillin, amoxicillin, to prevent an infection caused by bacteria
Elevate the head of the bed- helps improve the expansion of the lungs, enabling the patient to breathe more effectively
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Health education
Health educate about well balanced diet, smooth foods, such as flavored gelatins, ice cream, and applesauce
Teach children to cough or sneeze into a tissue, or his/her elbow, to prevent spread and infection of the disease
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Teach the patient and family about good hygiene, including washing hands often, and not sharing food, drink, utensils, or personal items like toothbrushes with anyone
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Complications
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Peritonsillar abscess- in some cases, infection can cause pus production which then collects behind the tonsils
Obstructive sleep apnea- due to the position of the tonsils, their swollen state can block the airway, particularly when assuming a prone position, such as when sleeping
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Risk factors
Germ exposure- frequent close contact with other people is a risk factor as the chances of infection being transferred is always present
Age- children tend to get tonsillitis more than adults. Kids who are between the ages of 5 and 15 are more likely to get tonsillitis caused by bacterial infections
References
Sadeghi-Shabestari M, Jabbari Moghaddam Y, Ghaharri H (2011). Is there any correlation between allergy and adenotonsillar tissue hypertrophy
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Pathophysiology
Tonsillitis develops when the pathogen, viral or bacterial, infects the tonsils and elicits an inflammatory response. It develops when the viruses infiltrate the tonsils and cause an inflammatory response of up-regulated cytokines