Nasal polyps (2)


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Nasal polyps (2)

  1. 1. Nasal polyp<br />OPTHALMOLOGY & OTORINOLARYNGOLOGY NURSING <br />DNC 206<br />
  2. 2. Objective<br />In the end of this presentation, students<br /> will able to…<br />Understand the Definition of Nasal Polyp <br />Know the Statistic / incidence of Nasal Polyp<br />List the Etiology/Risk factors Nasal Polyp<br />Know the Clinical manifestations of Nasal Polyp <br />Know the Complications of Nasal Polyp <br />Know the Diagnostic tests of Nasal Polyp<br />Know the Prevention of Nasal Polyp <br />Explain the Nursing management of Nasal Polyp<br />Know the Medical management of Nasal Polyp<br />Know the Nursing care plan for Nasal Polyp<br />Know the Prognosis of Nasal Polyp<br />Explain the Health Education for Nasal Polyp <br />Summary <br />
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  4. 4. definition<br />Nasal polyp…<br />Non – cancerous growth (benign)<br />Develop on the lining of the passages at sinuses<br />Growth :<br /> -small growth(may cause no problem)<br /> -big growth(cause many complications)<br />Come in many sizes and shapes.<br />(1998-2010 Mayo Foundation for Medical Education and Research (MFMER), 20th February,2009)<br />
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  6. 6. Common in adult.<br />Rare in children.<br />4 times are common in men than women.<br />1 and 20 out of every 1000 people will develop Nasal Polyp.<br />( -polyps/ds00498)<br />incidence<br />
  7. 7. pathophysiology<br />Triggering factors<br />Viral infections, bacterial infections, allergies,<br /> fungus, chronic inflammation, asthma, <br />chronic sinus infections, hayfever, sinusitis.<br />Proliferation of fibroblasts<br />And myoblasts<br />Allows fluid to build up in the cells<br /> of nose and sinuses.<br />Over time, as gravity pulls on these <br />fluid- filled cells.<br />Nasal polyp developed.<br />
  8. 8. Etiology <br />
  9. 9. Sinusitis <br />Viral and bacterial infection<br />
  10. 10. Allergic rhinitis<br />(hayfever)<br />Chronic inflammation<br />
  11. 11. Allergic fungal sinusitis<br />Asthma <br />Allergies <br />
  12. 12. Risk <br />factors <br />
  13. 13. Aspirin sensitivity<br />Asthma <br />Cystic fibrosis<br />Allergic fungal sinusitis<br />
  14. 14. Churg –Strauss Syndrome<br />Age- common in adult<br />Family <br />history<br />
  15. 15. Clinical <br />manifestations<br />Runny nose<br />Mouth breathing<br />Z zzz<br />Snoring <br />Shape of face may change<br />
  16. 16. Persistent stuffiness and<br /> facial discomfort<br />Decreased/ no sense of<br />smell and taste<br />Nasal obstruction<br />
  17. 17. Complications<br />Obstructive sleep apnea<br />
  18. 18. Altered facial structure<br />Bleeding <br />
  19. 19. DIAGNOSTIC<br /> TESTs<br />
  20. 20. CT Scan of <br />Nasal cavity<br />Physical examination<br />
  21. 21. Nasal endoscopic<br />Test for cystic fibrosis<br />
  22. 22. preventions<br />Clean and humidify your home and surrounding<br />Use nasal rinse or nasal lavage<br />Practice good hygiene<br />Manage allergies and asthma<br />Avoid irritants<br />
  23. 23. Medical/ surgical<br />management<br />
  24. 24. NASAL CORTICOSTEROID<br />Fluticasone (Flonase.Veramyst)<br />Budesonide (Rhinocort)<br />Flunisolide<br />(Nasarel)<br />Prednisone<br /> (either alone or with nasal spray)<br />
  25. 25. NASAL SPRAY<br /><ul><li>To reduce inflammation</li></li></ul><li>Surgicalmanagement<br />POLYPECTOMY<br />Removed using a <br />small mechanical <br />suction device or <br />a microdebrider. <br />ENDOSCOPIC SINUS SURGERY<br /><ul><li>Procedure to remove the nasal polyp </li></li></ul><li>Endoscopic Sinus surgery/ Polypectomy of the Nasal Polyp<br />
  26. 26. nursing<br />management<br />
  27. 27. Pre operative care of patient undergo Polypectomy.<br />Physical examination.<br />Taking vital signs as baseline data.<br />Inform or explain to patient and family members about the procedure.<br />Ensure the consent form is signed.<br />
  28. 28. Make sure case note, blood result, and CT Scan film are ready.<br />Ask patient to change his/ her clothes to OT gown.<br />Shaving if necessary (moustache).<br />Tell patient to stop taking medicine that can lead to severe bleeding. E.g aspirin.<br />
  29. 29. Ask patient to fasting 6-8 hours before procedure.<br />Ensure that patient has already past motion and urine. <br />
  30. 30. Post operative care..<br />Monitor patient’s vital signs properly.<br />Observe any complications such as bleeding and infections.<br />Administer analgesic drugs as prescribed by doctor.<br />Inform doctors if any abnormalities detect. Examples : inflammation <br />
  31. 31. Assess patient’s conditions <br /> ~ take patient’s level of pain. <br /> (pain scale)<br />
  32. 32. prognosis<br />Removing the polyps makes easier to breath through nose.<br />Nasal polyps can return<br />Treatment and surgery does not always improve lost sense of smell. <br />
  33. 33. nursing<br />Care plan<br />
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  35. 35.
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  37. 37.
  38. 38. Health education<br />Advise patient to compliant with medication given and not to take herbs that are not recommended by doctor.<br />Follow up review<br />~ condition of the nasal cavity after surgery done.<br />~detect any infection or inflammation.<br />
  39. 39. Avoid any irritants that can develop back the nasal polyps such as dust, infection, etc.<br />Advice patient not to injured to the surgery area such as.. <br />~digging<br />~blowing<br />
  40. 40. Summary <br />Nasal polyp is not a disease.<br />It caused by many triggering such as viral and bacterial infections, allergies, and fungus.<br />Nasal polyps are commonly developed in adult.<br />The common causes of nasal polyp are aspirin sensitivity, asthma, cystic fibrosis, and allergic fungal infection.<br />
  41. 41. Nasal polyps can manifest complications such as chronic sinus infection, bleeding, altered facial structures and others.<br />Nasal polyps can return after surgery.<br />
  42. 42. REFERENCES<br />Bachert C, Van Cauwenbergep.Nasal Polyps and Sinusitis. In: Adkinsaon NF, Yunginger JW, Busseww,et,eds. Middleton’s Allergy, Principles and Practice, 6thed Philadelphia, Morby; 2003:1421-1436<br />Lewis, Heitkemper, Dirksen, O’Brian, Bucher. Medical-surgical Nursing. Assessment and management of clinical problems. Page 541.International edition.<br /> Mayo Clinic Staff, 1998-2010 Mayo Foundation for Medical Education & Research(MFMER)<br /> ( /health/nasal-polyps/ds00498)<br />Pl Dhingra , Disease of ear,nose and throat. Fourth edition 2007. Elsevier, A division of Reed Elsevier India private limited .<br />Seth Schwartz, MD, MPH, Otolaryngologist, Bachert C, Gevaert P, Van CauwenbergeP.Nasal polyps and rhinosinusitis. In:Adkinson NF Jr.,Bochner BS ,Busse WW, Holgate ST,Lemaske RF Jr.,eds.Middleton’sAllergy:Principles and Practice.7thedition.Philadelphia,Pa;Mosby Elsevier;2008:chap 56<br />