The tonsils aremasses of lymphoid
tissue located in the pharyngeal cavity.
They filter and protect the respiratory
and alimentary tracts from invasion by
pathogenic organisms and play a role
in antibody formation.
Introduction
4.
• Tonsillitis isthe inflammation of the
tonsils usually caused by beta-
hemolytic streptococci or viruses.
• Viral infections require only
symptomatic treatment.
• Treatment for bacterial tonsillitis is the
same as for bacterial pharyngitis.
TONSILLITIS
7.
• Beta hemolyticstreptococcus is the
most important and common
organism.
• H influenzae type B is occasionally
responsible.
ETIOLOGY
8.
• Acute tonsillitis:Fever, sore throat,
tender cervical lymphadenopathy,
dysphagia, erythematous tonsils with
exudates.
• Chronic tonsilitis: Chronic sore throat,
dyspnea, malodorous breath,
peritonsillar erythema, persistent tender
cervical lymphadenopathy and lasting
at least 3 months.
CLINICAL FEATURES
9.
1.Antibiotics: if theinfection is caused by
bacteria, antibiotics may be prescribed to
help clear up the infection.
2.Pain Management: Use over-the-counter
pain medications such as acetaminophen or
ibuprofen to manage pain and discomfort.
3.Corticosteroids: In severe cases of tonsillitis,
corticosteroids may be prescribed to help
reduce inflammation.
MEDICAL MANAGEMENT
10.
1.Tonsillectomy: A tonsillectomyis a surgical
procedure to remove the tonsils. This is
usually recommended for individuals who
experience recurrent or severe tonsillitis.
2.Adenoidectomy: If the adenoids ( masses of
lymphoid tissue located behind the nasal
passages) are also infected, an
adenoidectomy ( surgical removal of the
adenoids) may be recommended.
SURGICAL MANAGEMENT
11.
1.Assessment: Assess thepatient’s airway,
breathing, and circulation ( ABCs ) and
monitor for signs of respiratory distress.
2.Pain management: Administer pain
medications as prescribed and monitor
for effectiveness.
3.Hydration: Encourage the patient to drink
plenty of fluids to stay hydrated and help
thin out secretions.
NURSING MANAGEMENT
12.
4. Rest: Encouragethe patient to rest and
avoid strenuous activities.
5. Education: Educate the patient and
family on the importance of completing the
full course of antibiotics, managing pain,
and recognizing signs of complications.
6. Monitoring: Monitor the patient for signs of
complications, such as bleeding, respiratory
distress, or dehydration.
13.
BIBLIOGRAPHY
• Pal Panchali,Textbook of Pediatric Nursing, 3rd
edition, CBS
publishers & distributors Private Limited, Page no :- 248
• BT Basavanthappa, Child Health Nursing, Jaypee
Publication, Page no:- 371 to 372
• Marilyn J. Hockenberry, David Wilson, Cheryl C. Rodgers,
Essentials of Pediatric Nursing, 2nd
South Asia Edition,
Elsevier Publication, Page no:- 468 to 470