Tonsillitis

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