TONSILITIS Flashcards

1
Q

The tonsils are composed of ____ and are situated on each side of the ____

A

lymphatic tissue

oropharynx

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2
Q

function to protect against infections that could enter the body through the nose and throat

A

TONSILS

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3
Q

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.

A

antibodies

antigen-antibody complexes

heart

Rheumatic Heart Disease

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4
Q

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).

A

to know

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5
Q

is indicated if the patient has had repeated episodes of tonsillitis despite antibiotic therapy

A

Tonsillectomy

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6
Q

An initial sign of hemorrhaging after a tonsillectomy is ___ as __

A

swallowing frequently as mucus and blood combine to increases secretions

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7
Q

Symptoms of postoperative complications in Tonsillectomy include: (4)

A

fever
throat pain
ear pain
bleeding

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8
Q

✓ 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 ______

A

expectorates

action of the acidic gastric juice.

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9
Q

❖ POST OP CARE: TONSILLECTOMY

A

→ 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.

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