PRESENTED BY MR.RAVI CHOUKARE BSc N. STUDENT LNCT MEDICAL COLEGE INDORE

1. CASE PRESENTATION
ON
RHINITIS
PRESENTED TO
MISS. ASHA JAT
B.Sc NURSING TUTOR
PRESENTED BY
MR. RAVI CHOUKARE
B.Sc NURSING 3RD YEAR

2. RHINITIS
 INTRODUCTION :- Rhinitis is a group of disorder characterized by
inflammation of the nose, it may be infectious , allergic or non allergic.
 DEFINITION :- rhinitis is inflammation and swelling of the mucous membrane
of the nose, characterized by runny nose and stuffiness and usually caused
by the common cold or a seasonal allergy.
Or
Hypersensitivity of the nasal mucous membrane due to exposure of
allergens.

3. RHINITIS FURTHER DEVIDED INTO TWO TYPE
1. ALLERGIC RHINITIS :- It is usually occurs due to allergic reactions.
CAUSES :
• Dust
• Dander ( hair , fur and feathers )
• Pollens ( tree pollen , grass pollen )
2. NON- ALLERGIC RHINITIS : - When rhinitis occurs due to other causes
rather than allergies known as non allergic rhinitis .
CAUSES :
• Rhinovirus
• Adenovirus

4. ANOTOMY
Upper airway structure consist of the nose, sinuses, nasal
passages, pharynx ,larynx and trachea.
PHYSIOLOGY
Their work is to filter, warm, and moisten the air and conduct it
into lungs.

5.  Rhinovirus
 Dust
 Smoking
 Tobacco
 Polluted atmosphere
 Animal dander
 Odor
 Perfumes

6.  Sneezing
 Watery itchy eyes
 Rhinorrhea
 Sore throat
 Itchy skin
 Headache
 Face ache
 Restlessness
 Sleep disturbance
 Weakness
 Fever

7.  Sinusitis
 Asthma
 Anaphylaxis
 Otitis media
 Hearing loss
 Chronic nasal obstruction
 Orthodontic malocclusion

8.  History collection
 Physical examination
 Allergy skin test ( skin prick test )
 Nasal drainage culture

9. Due to any etiological factors ( injury, trauma)
Blood vessels ruptured
bleeding blood loss
Hypovolemia
Decreased cardiac output
Hypoxia
Organ failure
Cell tissue death
Death

10. • Avoid of irritants
• Maintain hygiene
• Nasal saline rinses

11.  Antihistamine :
cetirizine , brompheniramine
 Decongestant spray
 Oral decongestant
 Nasal spray ( beclomethasone )
 Montelukast
 Analgesic
 Antipyretics

12. There is no any specific surgical management
for rhinitis

13. 1. Assess vital sign & oxygen saturation
2. Assess impaired body temperature
3. Assess consciousness
4. Assess heart rate
5. Assess risk for fluid & electrolytes imbalance
PRIORITY NEEDS
1. Need for comfort:-
a) Positioning
b) Medication
2. Need for infection prevention :-
a) Maintain hygiene
b) Maintain vitals.
3. Need for nutrient support
a) Protein rich diet
b) Carbohydrate, calcium &
minerals diet.
4. Need for knowledge
a) Related to disease
condition
b) Related to treatment
c) Management
d) Hospitalization

14. 1) Risk for infective tissue perfusion related to hemorrhage
as evidence by investigation.
2) Impaired body temperature related to disease condition
as evidence by vital examination.
3) Imbalance nutrition less than body requirement related
to disease condition as evidence by observation .
4) Deficient fluid volume related to excessive blood loss
after birth as evidence by changes in mental status and
increased heart rate .
5) Pain related to injury as evidence by observation of facial
examination .

15. i. Educate the patient or family member about
disease condition , treatment and
prevention.
ii. Instruct the patient about proper take
medication .
iii. Educate the patient or family member about
hygiene.
iv. Instruct the patient or family member to
come again for follow up.

16. Rhinitis is a common disease and characterized
by runny nose , sneezing , nasal blockage, may
be seasonal or perennial.

17. In pediatric trauma, we don’t just have an
injury child, we have an injured family.
Physiological support is very essential in
emergency management. Child, calm him and
also support family.