Ch 17 ATI Flashcards
Palatine Tonsils
Located on both sides of the oropharynx
usually the tonsils removed during tonsilectomy
Pharyngeal tonsils
Known as the adenoids,
Removed during Adenoidectomy
Purpose of the Tonsils
Masses of lymph type tissue meant to filter organisms and contributing to antibody formation
For children with difficulty drinking you would use
Hydrocodone
Tonsillectomy Key points
-Avoid solid food and encourage clear liquids/fluids until the gag reflex returns
-Avoid red-colored liquids, citrus, and milk-based foods.
-Avoid coughing and nose blowing
-Notify the provider if bright red bleeding occurs
-Observe for hemorrhage, or dehydration
R/F for Common Respiratory Viruses
Anemia
Nutritional Deficiencies
Season [Winter is worse]
Education for Common Respiratory Viruses
Rest during febrile illnesses
Adequate fluid intake
Nasopharyngitis med info, duration, what it is
Common Cold persists 4-10 days
Do not give antihistamines
caution with cough supressants
decongestants for children over 6
GABHS [Group A beta-hemolytic Streptococcus] Med of choice
Penicillin or Erythromycin if allergic
Bronchitis
Self Limiting
Dry hacking cough
Test nasopharyngeal sputum
Bronchiolitis
Occurs at bronchiolar level
Caused by RSV
Bronchiolitis Findings
Rhinorrhea
Intermittent fever
Eye/ear infection
Illness Progression:
Coughing, Sneeszing tachypnea, retractions.\
Severe: Tachypnea [>70], listlessness, apneic spells, cyanosis
Bronchiolitis Meds
Do not give bronchiodilators and controversial opinions an corticosteroids
Pneumonia agents
Group A strep
Aureus, staphylococcus
Strep pneumoniae
Pneumoniae, mycoplasma
Catarrhalis, mycoplasma
Pneumonia findings
Cough
High fever
tachypnea
Retractions
Dullness
Rhonchi or fine crackles
Elevated antistreptolysin if streptococcal
