3. TONSILLITIS
•Tonsillitis is infection of the tonsils. Which
may be acute or chronic.
•
•Streptococcus is the most common
infecting organism, although Haemophilus
influenze and other orginsms also caused
by tonsillitis.
4. Etiology
• Infection due to bacteria are the most common causes.
• Other causes including
• URI
• Chronic sinusitis
• Lowered immunity status
• Excessive use of cold drinks
• Environmental pollution
• Foreign bodies
5. Clinical manifestations
• The patient’s with tonsillitis reports
• Throat pain
• Difficulty in swallowing
• Otalgia
• Generalised malaise
• Sudden onset fever
• In some cases Lymphadenipathy of the cervical
lymph nodes may also present.
7. Medical management
• Antibiotics are used to treat acute tonsillitis.
• In addition, the patient is instructed to
minimize activity, and to maximize bed rest
and increase adequate amount of fluid
intake.
• Saline throat irrigation or gargles may relives
the discomfort.
9. Surgical management
• Surgical removal of the tonsils (
tonsillectomy) and adenoids (
adenoidectomy) is collectively called “
Tonsilloadenectomy” or T & A
10. Indications of Tonsilloadenectomy
• Recurrent episodes of acute or chronic tonsillitis
• Tonsillar or adenoid hypertrophy causing
obstruction of a airway and impaired swallowing
• Resolution of a peritonsillar abscess
• Repated ear problems related to eustachain tube
obstruction
• Sinus complications
11. Nursing management of the surgical clients
• After tonsillectomy, place the client in a
lateral decubitus position unitil the client
awake and alert.
• Monitoring vital signs, hemorrhage is the most
serious complications.
• Start oral feeding if once recovery from
anesthesia.
• Pain is the first 7 to 10 post operative days
