Skip to main content
UploadLanguage (EN)Support
BusinessMobileSocial MediaMarketingTechnologyArt & PhotosCareerDesignEducationPresentations & Public SpeakingGovernment & NonprofitHealthcareInternetLawLeadership & ManagementAutomotiveEngineeringSoftwareRecruiting & HRRetailSalesServicesScienceSmall Business & EntrepreneurshipFoodEnvironmentEconomy & FinanceData & AnalyticsInvestor RelationsSportsSpiritualNews & PoliticsTravelSelf ImprovementReal EstateEntertainment & HumorHealth & MedicineDevices & HardwareLifestyle
Ganesh naik, profile picture
Uploaded byGanesh naik
PPTX, PDF45,296 views

Tonsilitis ppt 1

Tonsillitis is an inflammation of the palatine tonsils caused commonly by Group A Streptococcus bacteria. Symptoms include sore throat, fever, enlarged tonsils, and difficulty swallowing. Diagnosis involves physical examination and rapid strep tests. Treatment involves antibiotics, pain medication, fluids, and sometimes tonsillectomy for recurrent cases. Nurses manage tonsillitis by promoting airway clearance, maintaining fluid volume, and relieving pain. Complications can include peritonsillar abscess. Prevention involves hand washing and avoiding sharing utensils.

Education◦
Downloaded 390 times
TONSILITIS BY: Mr.Ganesh V. Naik II year MSc(N) Pediatric Dept SDM Institute of Nursing Science’s Dharawad
INTRODUCTION Tonsillitis is the term commonly used to describe the inflammation and infection of two palatine tonsils. The purpose of these lymphoid tissues is to filter and protect the respiratory and digestive tracts from invasion by pathogens, but often the tonsils become site for infection.
DEFINITION Tonsillitis is defined as an inflammation of the tonsils and characterized by sore throat and fever
INCIDENCE The incidence of tonsillitis peaks between age 4 and 7 years. Group A Beta Hemolytic Streptococcus infection occurs most frequently in the winter and is spread more readily in crowded living situation
ETIOLOGY  The common cause of bacterial agent is Group A Beta Hemolytic Streptococcus.
PATHOPHYSIOLOGY Bacterial infection Protective immunity not developed yet (prone to infection) Stimulate inflammatory response Tonsilitis Inflammation of tonsils Fever Sore throat Tonsils increase in size May obstruct airway
CLINICAL MANIFESTATION  Sore throat which may be persistent and recurrent  Tonsils enlarged and bright and may be covered with white exhudate
CONT…….  Dysphagia (Difficulty in swallowing)  Mouth breathing and unpleasant mouth odour
CONT…  Enlarged adenoids  Hearing difficulty  Otitis media  Snoring  Nasal quality of speach
DIAGNOSTIC EVALUATION  Detailed history collection  Physical examination:  Note if the child’s voice sound muffled or hoarse.  Inspect enlargement of tonsils
CONT….  Throat swab culture  Blood test • Rapid streptococcal antigen tests (rapid strep test) can accurately screen for group A Beta hemolytic streptococcal infection
MANAGEMENT MEDICAL MANAGEMENT  During the acute phase of tonsilitis treatment is symptomatic  Acetaminophen or ibuprofen is used for pain.  Gargling with warm saline solution for comforting of children
CONT…..  Tonsillitis is most commonly treated with penicillin given two or three times daily for 10days.  Erythromycin may be used in children who are allergic to penicillin
SURGICAL MANAGEMENT  Tonsillectomy:- • Surgical removal of the tonsils. • Tonsillectomy is considered in case of recurrent tonsillitis, upper airway obstruction, peritonsillar abscess.
CONT……  Electrosurgical tonsillectomy: • It is a newer technique that uses electro magnetic radiation to generate heat within tissue for cutting and coagulation • This technique may reduce risk for bleeding and produce less patient discomfort.
CONT..  Adenodectomy:  Surgical removal of the adenoids that obstruct nasal breathing
NURSING MANAGEMENT  Promoting Airway clearence  Provide sidelying or prone position to facilitate safe drainage of secretions.  Suctioning if necessary should be done to avoid trauma to the surgical site
CONT…  Maintaining fluid volume  Inspect throat for bleeding  To avoid trauma to the surgical site discourage the child from coughing, clearing the throat, blowing the nose and using straws.  Encourage children to take any fluids  Citrous juice and brown or red fluids should be avoided
CONT… o Relieving pain  Ice collar may be prescribed  Administer analgesics.  Promote oral fluid intake.
COMPLICATION  Peritonsillar abscess  Pharyngitis  Blocked airway from swollen tonsills
PREVENTION  Wash his or her hands thoroughly and frequently after using the toilet and before eating.  Avoid sharing food, drinking glass or utensils.  Teach the child to do coughing exercise  Teaching the child to wash his or her hands after sneezing or coughing
Tonsilitis ppt 1