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TONSILLITISRefers to infection and
inflammation of the palatine tonsils
PATHOPHYSIOLOGY OF TONSILLITIS Predisposing Factors: Precipitating Factors: Age Unhealthy Lifestyle Sex Environment Poor Hygiene ( esp. oral hygiene) Excessive consumption of sweet foods and cold beverages
Bacteria and virus enter the body through the nose and mouth
ggg Bacteria and viruses are filtered in the tonsils
Tonsils work by surrounding bacteria and virus with white blood cells
TONSILLITIS
CLINICAL MANIFESTATIONS
• RED AND SWOLLEN TONSILS AND UVULA• SORE THROAT• DYSPHAGIA• FEVER• PRESENCE OF WHITE OR YELLOWISH SPOTS IN
THE TONSILS• LOSS OF APPETITE• EARACHE
MEDICAL MANAGEMENT
Antibiotic Therapy• oral penicillin -most common antimicrobial
agent which is taken for 7 days• Amoxicillin• ErythromycinAntipyretic for feverAnalgesic for pain
SURGICAL MANAGEMENT
TONSILLECTOMYRemoval of the palatine
tonsils
NURSING DIAGNOSIS ACUTE PAIN RELATED TO SURGERYNursing Interventions:*Identify causative factors that aggravate pain*Monitor Vital Signs*Assess pain scale*Provide comfortable environment*Put primary focus on non-verbal cues such as
grimacing of face*Administer analgesics as prescribed*Encourage patient to communicate unrelieved pain
Risk for Aspiration related to bleeding in the operated area
Nusing Interventions:*Position the head of the patient to the side
with the chin extended forward*Suction patient if needed*Monitor vital signs especially respiratory rate*Encourage patient to consume cold food (e.g.,
ice cream) to promote vasocontriction