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Tonsillitis and Adenoiditis
Islamic University
Nursing College
Tonsillitis
– Inflammation of tonsils.
– Masses of lymphoid tissue in pairs
– Often occurs with pharyngitis
– Characterized by fever, dysphagia, or respiratory
problems forcing breathing to take place through
nose
Nurse Alert!
Key to understanding
prevention of URI is
careful hand-washing
and avoiding exposure
to infected persons.
Nurse Alert!
The nurse should remind the
child with a positive throat
culture for strep to discard their
toothbrush and replace it with
a new one after they have been
taking antibiotics for 24 hours
Causes
• Viral.
• Bacterial ( group A beta hemolytic
streptococci (GABHS).
Clinical Manifestations
• Tonsillitis
– Fever
– Persistent or recurrent sore throat
– Anorexia
– General malaise
– Difficulty in swallowing, mouth breather, foul odor breath
– Enlarged tonsils, bright red, covered with exudate
• Adenoiditis
– Stertorous breathing - snoring, nasal quality speech
– Pain in ear, recurring otitis media
Surgical treatment
• Tonsillectomy. If recurrent.
• Not recommended before 3 years of age due
to:
• Excessive blood loss.
• Tonsils grow back.
Nursing Care for the Tonsillectomy and
Adenoidectomy Patient
Post-operative Care
• Providing comfort and minimizing activities or interventions that
precipitate bleeding
– Place on abdomen or side until fully awake
– Manage airway
– Monitor bleeding, esp. new bleeding
– Ice collar, pain meds
– Avoiding fluids until fully awake --then liquids and
soft cold foods. Avoid citrus juices, milk
– Do not use straws or put tongue blade in mouth,
no smoking (in teenagers).
Nurse Alert for Post-Op T/A surgery
• Most obvious sign of early bleeding
is the child’s continuous
swallowing of trickling blood.
• Note the frequency of
swallowing and notify
the surgeon immediately
Epiglottitis
• Bacterial form of croup (H influenza)
with unique symptoms and treatment
• Bacterial infection invades tissues
surrounding the epiglottis
• Epiglottis becomes edematous, cherry
red and may completed obstruct airway
• Progresses rapidly, child is unable to
swallow, drooling
Cardinal signs and symptoms
• May have had mild URI few days
prior
• Drooling
• Dysphasia
• Dysphonia
• Distressed respiratory efforts
• Tripod position: supported by arms,
chin thrust out, mouth open
ER Management
• NEVER leave child unattended
• Don’t examine or culture throat or start
IV/Blood samples
• Patent airway ASAP
• Monitor oxygenation status, (continuous pulse ox, humidified
O2)
• Antipyretics suppository
• Calm the parent! Explain what is going on…a calm
parent=calmer child!
• OR- intubation
• Throat & blood cultures done after intubation
• Usually extubated after 48h
• Antibiotics for 7-10 days
• Discharge
Nursing Interventions on unit once stable
• Continually assess for s/s of
respiratory distress
• Maintain pulse ox above 95% with PaO2
between 80-100mmHg
• Maintain patent airway
• Position for comfort (never force to lie
down)
• Relieve anxiety
• Monitor temp (antipyretics, ABX)
Tonsillitis and-adenoiditis

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Tonsillitis and-adenoiditis

  • 1. Tonsillitis and Adenoiditis Islamic University Nursing College
  • 2. Tonsillitis – Inflammation of tonsils. – Masses of lymphoid tissue in pairs – Often occurs with pharyngitis – Characterized by fever, dysphagia, or respiratory problems forcing breathing to take place through nose
  • 3. Nurse Alert! Key to understanding prevention of URI is careful hand-washing and avoiding exposure to infected persons.
  • 4. Nurse Alert! The nurse should remind the child with a positive throat culture for strep to discard their toothbrush and replace it with a new one after they have been taking antibiotics for 24 hours
  • 5. Causes • Viral. • Bacterial ( group A beta hemolytic streptococci (GABHS).
  • 6. Clinical Manifestations • Tonsillitis – Fever – Persistent or recurrent sore throat – Anorexia – General malaise – Difficulty in swallowing, mouth breather, foul odor breath – Enlarged tonsils, bright red, covered with exudate • Adenoiditis – Stertorous breathing - snoring, nasal quality speech – Pain in ear, recurring otitis media
  • 7. Surgical treatment • Tonsillectomy. If recurrent. • Not recommended before 3 years of age due to: • Excessive blood loss. • Tonsils grow back.
  • 8. Nursing Care for the Tonsillectomy and Adenoidectomy Patient
  • 9. Post-operative Care • Providing comfort and minimizing activities or interventions that precipitate bleeding – Place on abdomen or side until fully awake – Manage airway – Monitor bleeding, esp. new bleeding – Ice collar, pain meds – Avoiding fluids until fully awake --then liquids and soft cold foods. Avoid citrus juices, milk – Do not use straws or put tongue blade in mouth, no smoking (in teenagers).
  • 10. Nurse Alert for Post-Op T/A surgery • Most obvious sign of early bleeding is the child’s continuous swallowing of trickling blood. • Note the frequency of swallowing and notify the surgeon immediately
  • 11. Epiglottitis • Bacterial form of croup (H influenza) with unique symptoms and treatment • Bacterial infection invades tissues surrounding the epiglottis • Epiglottis becomes edematous, cherry red and may completed obstruct airway • Progresses rapidly, child is unable to swallow, drooling
  • 12. Cardinal signs and symptoms • May have had mild URI few days prior • Drooling • Dysphasia • Dysphonia • Distressed respiratory efforts • Tripod position: supported by arms, chin thrust out, mouth open
  • 13. ER Management • NEVER leave child unattended • Don’t examine or culture throat or start IV/Blood samples • Patent airway ASAP • Monitor oxygenation status, (continuous pulse ox, humidified O2) • Antipyretics suppository • Calm the parent! Explain what is going on…a calm parent=calmer child! • OR- intubation • Throat & blood cultures done after intubation • Usually extubated after 48h • Antibiotics for 7-10 days • Discharge
  • 14. Nursing Interventions on unit once stable • Continually assess for s/s of respiratory distress • Maintain pulse ox above 95% with PaO2 between 80-100mmHg • Maintain patent airway • Position for comfort (never force to lie down) • Relieve anxiety • Monitor temp (antipyretics, ABX)