TONSILITIS Flashcards
The tonsils are composed of ____ and are situated on each side of the ____
lymphatic tissue
oropharynx
function to protect against infections that could enter the body through the nose and throat
TONSILS
If a child has a sore throat or tonsillitis, the body will compensate by producing _____. However, if tonsillitis keeps recurring, it can lead to the formation of ________. These complexes can potentially damage the ____. In adults, this condition is referred to as ________, which can cause valvular disorders.
antibodies
antigen-antibody complexes
heart
Rheumatic Heart Disease
CLINICAL MANIFESTATIONS
→ Sore throat, fever, snoring, and difficulty swallowing.
→ Enlarged adenoids may cause mouth breathing, earache, draining ears, frequent head colds, bronchitis, foul-smelling breath, voice impairment, and noisy respiration.
→ Infection can extend to the middle (acute otitismedia), which can lead to spontaneous rupture of the tympanic membrane and further extension of the infection into the mastoid cells(acute mastoiditis).
to know
is indicated if the patient has had repeated episodes of tonsillitis despite antibiotic therapy
Tonsillectomy
An initial sign of hemorrhaging after a tonsillectomy is ___ as __
swallowing frequently as mucus and blood combine to increases secretions
Symptoms of postoperative complications in Tonsillectomy include: (4)
fever
throat pain
ear pain
bleeding
✓ Bleeding may be seen as bright red blood if the patient _____ it before swallowing it.
✓ If the patient swallows the blood, it becomes brown because of the ______
expectorates
action of the acidic gastric juice.
❖ POST OP CARE: TONSILLECTOMY
→ Apply ice collar because it causes vasoconstriction which stops bleeding, relieve pain and reduces edema.
→ Gentle gargle with warm saline or a pinch of salt 3 to 4 times daily because this can attract water which can lessen the edema; and it thins the mucus, making it easier for the patient to expectorate phlegm.
→ Use of acetaminophen to relieve pain.
→ Elevate the head 45 degree when client is fully awake because this position decreases surgical edema and increases lung expansion.
→ Instruct patient not to cough, clear the throat, blow the nose, and use a straw for 1 to 2 weeks because these actions increase pressure on the suture line and may cause disruption and bleeding.
→ Instruct patient to avoid carbonated fluid and fluids high in citrus content because it is caustic to the surgical site and may disrupt the suture line.
▪ Because these can irritate the wounds.
▪ Carbonate (high in sugar) is a good medium for the growth of bacteria.
→ Encourage them to first try ice chips, followed by small sips of cold fluids, popsicles, and then full liquids.
→ Advise patient to add soft food, gelatin, sherbet as tolerated after the first 24 hours postoperatively.
→ Avoid spicy foods and rough-textured foods such as popcorn, peanuts, crackers, granola, cereal, and whole-grain bread because these may lead to coughing and affect the suture line.
→ Avoid milk, bananas, cheese, yogurt, and French fries because these can thicken the mucus.
→ If the patient vomits large amounts of dark blood or bright-red blood at frequent intervals, pulse rate and temperature rise and the patient is restless, notify the surgeon immediately.
→ Advise patient to avoid vigorous toothbrushing or gargling because these can cause bleeding.