CHILD HEALTH NURSING- RHINITIS

PRESENTED BY
MR.RAVI CHOUKARE
BSc N. STUDENT
LNCT MEDICAL COLEGE INDORE

1. CHILD HEALTH NURSING CASE PRESENTATION ON RHINITIS PRESENTED TO MISS. ASHA JAT B.Sc NURSING TUTOR PRESENTED BY MR. RAVI CHOUKARE B.Sc NURSING 3 RD YEAR

2. RHINITIS INTRODUCTION :- Rhinitis is a group of disorder characterized by inflammation of the nose, it may be infectious , allergic or non allergic. DEFINITION :- rhinitis is inflammation and swelling of the mucous membrane of the nose, characterized by runny nose and stuffiness and usually caused by the common cold or a seasonal allergy. Or Hypersensitivity of the nasal mucous membrane due to exposure of allergens. DESCRIPTION OF DISEASE

3. RHINITIS FURTHER DEVIDED INTO TWO TYPE ALLERGIC RHINITIS :- It is usually occurs due to allergic reactions. CAUSES : Dust Dander ( hair , fur and feathers ) Pollens ( tree pollen , grass pollen ) NON- ALLERGIC RHINITIS : - When rhinitis occurs due to other causes rather than allergies known as non allergic rhinitis . CAUSES : Rhinovirus Adenovirus CLASSIFICATION

4. ANOTOMY Upper airway structure consist of the nose, sinuses, nasal passages, pharynx ,larynx and trachea. PHYSIOLOGY Their work is to filter, warm, and moisten the air and conduct it into lungs. ANATOMY AND PHYSIOLOGY

5. ETIOLOGY Rhinovirus Dust Smoking Tobacco Polluted atmosphere Animal dander Odor Perfumes

6. CLINICAL MANIFESTATION Sneezing Watery itchy eyes Rhinorrhea Sore throat Itchy skin Headache Face ache Restlessness Sleep disturbance Weakness Fever

7. COMPLICATIONS Sinusitis Asthma Anaphylaxis Otitis media Hearing loss Chronic nasal obstruction Orthodontic malocclusion

8. DIAGNOSTIC EVALUATION History collection Physical examination Allergy skin test ( skin prick test ) Nasal drainage culture

9. PATHOPHYSIOLOGY Due to any etiological factors ( injury, trauma) Blood vessels ruptured bleeding blood loss Hypovolemia Decreased cardiac output Hypoxia Organ failure Cell tissue death Death

10. MANAGEMENT medical management Avoid of irritants Maintain hygiene Nasal saline rinses

11. Pharmacological management Antihistamine : cetirizine , brompheniramine Decongestant spray Oral decongestant Nasal spray ( beclomethasone ) Montelukast Analgesic Antipyretics

12. There is no any specific surgical management fo r rhinitis SURGICAL MANAGEMENT SURGICAL MANAGEMENT

13. Assess vital sign & oxygen saturation Assess impaired body temperature Assess consciousness Assess heart rate Assess risk for fluid & electrolytes imbalance Nursing management PRIORITY NEEDS Need for comfort :- Positioning Medication 2 . Need for infection prevention :- Maintain hygiene Maintain vitals. 3. Need for nutrient support Protein rich diet Carbohydrate, calcium & minerals diet. 4 . Need for knowledge Related to disease condition Related to treatment Management Hospitalization

14. Risk for infective tissue perfusion related to hemorrhage as evidence by investigation. Impaired body temperature related to disease condition as evidence by vital examination. Imbalance nutrition less than body requirement related to disease condition as evidence by observation . Deficient fluid volume related to excessive blood loss after birth as evidence by changes in mental status and increased heart rate . Pain related to injury as evidence by observation of facial examination . NURSING DIAGNOSIS

15. Educate the patient or family member about disease condition , treatment and prevention. Instruct the patient about proper take medication . Educate the patient or family member about hygiene. Instruct the patient or family member to come again for follow up. HEALTH EDUCATION

16. Rhinitis is a common disease and characterized by runny nose , sneezing , nasal blockage, may be seasonal or perennial. SUMMARY

17. In pediatric trauma, we don’t just have an injury child, we have an injured family. Physiological support is very essential in emergency management. Child, calm him and also support family. CONCLUSION