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seminar-on-sinusitis.pptx
- 1. SUBMITTED BY: BARASHA KALITA ROLL NO: 12 BSc Nursing 3rd year SEMINAR ON SINUSITIS
- 2. INTRODUCTION
- 6. PHYSIOLOGY – Nose : • Respiratory function • Warming • Filtering and clearing • Humidification • Sense of smell Sinuses :
- 7. DEFINITION Sinusitis is an inflammation or swelling of the tissue lining of sinuses
- 8. TYPES 1. Acute sinusitis 2. Sub acute sinusitis 3. Chronic Sinusitis 4. Recurrent sinusitis
- 9. INCEDENCE Globally , sinusitis affects 1 out of 7 adult in US, with more than 30 million individual diagnosed each year. The prevalence of chronic rhinosinusitis worldwide ranges from about 8% in China, 8.4% in Korea, 11% in Europe, 12% in US. In India, estimated 134 million Indians suffer from chronic sinusitis, one in 8 Indians suffer from chronic sinusitis.
- 10. RISK FACTOR 1. Allergies : sometimes allergens cause too much mucus to form
- 14. ETIOLOGY 1. Infection – nasal infection, pharyngeal infection, tooth infection 2. Trauma to sinus – contusion of sinus, compound fracture of sinus. 3. Viruses – rhinovirus , para influenza I and II 4. Bacteria – pneumococci , streptococci, staphylococci 5. Other causes – poor general health, chronic bronchitis
- 15. PATHOPHYSIOLOGY Itiology ( acute infection, viruses, bacteria etc.) Destroys normal ciliated epithelium Impairs drainage from sinus Pooling and stagnation of secretion Mucosal changes, loss of cilia, edem polyp formation etc. sinusitis
- 23. DIAGNOSTIC EVALUATION 1. History collection 2. Physical examination
- 24. Mucus culture : X-ray :
- 25. CT scan of sinus :
- 27. MANAGEMENT
- 30. MEDICAL MANAGEMENT It includes – 1. Antibiotics - first line therapy is amoxicillin for 14 days.
- 35. NURSING DIAGNOSIS : Pre operative – 1. Ineffective breathing pattern related to obstruction of sinuses 2. Acute pain related to inflammation of sinus 3. Anxiety related to lack of knowledge about procedure and disease condition. Post operative 1.Impaired sense of comfort related to pressure in head and sinuses 2.Risk for Reoccurrence related to irregular treatment.
- 36. HEALTH EDUCATION • Advice client to get proper rest and sleep • Advice to drink 6-8 glasses of water • Take hot shower daily 2times , use NS spray, humidifier , steam inhaler to promote secretion drainage • Instruct to avoid blowing nose • Advice nasal saline washes once or twice a day • Apply warm damp towel around nose, cheek, eyes to relieve pain
- 37. JOURNAL ABSTRACT • According to new study published by VANDERBILT researchers , study published in the “ Journal of allergy and clinical immunology “ Examined tissue and mucus specimen of 147 patients between 18-78 who have chronic sinusitis and required surgery. Result – found that old patient have a unique inflammatory signature that may render them Less responsive to steroid treatment.
- 39. QUIZE ROUND
- 40. 1. Where is the maxillary sinus situated? 1. Chronic sinusitis symptoms lasting till-- a. 4-8 weeks b . 8 weeks C. 8 weeks or longer
- 41. 3 . List down the risk factors of sinusitis? 4. Do Haemophilus influenza cause sinusitis a. Yes b. No 5.We have pain in our nasal bridge if we have --- a. Maxillary sinusitis b. Sphenoid sinusitis c. Ethmoid sinusitis d. Frontal sinusitis
- 42. 6. Name two surgical procedure for sinusitis? 7. What antibiotic is used as first line therapy in sinusitis a. Ceftriaxone b. Amikacin c. Amoxicillin 8. Give health education for sinusitis?
- 43. 9. Name the picture
- 44. CONCLUSION
- 45. THANK YOU