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Chapter: 11th 12th std standard Class Nursing Health Care Hospital Hygiene Higher secondary school College Notes

Tonsilitis Ear Infection : symptoms, Diagnosis, Management

It is an acute or generalized inflammation of the mass of the tonsil caused by straptococus or staphylococcus.

Tonsilitis:

 

It is an acute or generalized inflammation of the mass of the tonsil caused by straptococus or staphylococcus.

Etiology :

 

Caused by bacterial or viral organism

 

1.     It is common in children

 

2.     More among the person who' s resistance is low.

 

Signs and symptoms:

 

1.     Onset is Sudden

 

2.     Sorethroat pain on swallowing

 

3.     Fever, Chills generlised muscle acting a malaise.

 

4.     Tonsils appear red and peritonsillar tissue are swollen

 

Diagnosis:

 

1.     Throat examination and appropriate cultures to determine the presence of source of infection.

 

2.     Blood studies.

Management :

 

Pre-operative management :

 

a.     Adequate bed rest

 

b.     Diet should consist of large amount of fluids and

 

c.      Soft cool, non-irritating foods.

 

d.     Antibiotic penicillin should be given.

 

e.      Must be kept free from upper respiratory truck infections.

 

f.       Explain the procedure and keep nothing by mouth

 

g.     Discourage coughing

 

h.     Acetylsalisilic acid and sometimes iodine sulphate may be ordered to relieve pain and discomfort.

 

i.       Ice color may be applied to neck.

 

j.       If temperature 39oC - Alcholic sponge bath may be given.

 

Surgical management :

 

Chronic tonsillitis may lead to tonsillectomy

 

Indication for tonsilectomy :

 

Repeated attacks of tonsillitis

 

Paritonsillar  abcess (quinsy)

 

The sleep apnea syndrome

 

Post operative nursing care : -

 

Post operative care should be directed in preventing hemorrhage the most common complication.

 

The nurse must watch the vomiting substances, amount , frequency and nature of vomit.

 

The patient should be ensured for side lying position

 

Vital signs must be watched carefully.

 

Airway must be maintained because swelling may occlude it.

 

Fluid  must  be  encouraged  orally by swallowing  clear

fluids and straw should be privded.

 

 


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11th 12th std standard Class Nursing Health Care Hospital Hygiene Higher secondary school College Notes : Tonsilitis Ear Infection : symptoms, Diagnosis, Management |


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