Tonsillitis

Tonsillitis

1. Disease of the Throat

2. Tonsillitis Pharyngitis Cancer of larynx

3. TONSILLITIS Tonsillitis is infection of the tonsils. Which may be acute or chronic. Streptococcus is the most common infecting organism, although Haemophilus influenze and other orginsms also caused by tonsillitis.

4. Etiology Infection due to bacteria are the most common causes. Other causes including URI Chronic sinusitis Lowered immunity status Excessive use of cold drinks Environmental pollution Foreign bodies

5. Clinical manifestations The patient’s with tonsillitis reports Throat pain Difficulty in swallowing Otalgia Generalised malaise Sudden onset fever In some cases Lymphadenipathy of the cervical lymph nodes may also present.

6. Complications Complications from streptococcal tonsillitis include Pneumonia Nephritis Osteomyelitis and Rheumatic fever Bactrial endocarditis

7. Medical management Antibiotics are used to treat acute tonsillitis. In addition, the patient is instructed to minimize activity, and to maximize bed rest and increase adequate amount of fluid intake. Saline throat irrigation or gargles may relives the discomfort.

8. Continue Bed rest Fluid intake Anti biotics Throat irrigation Anti pyratics Soft, warm and simple diet

9. Surgical management Surgical removal of the tonsils ( tonsillectomy) and adenoids ( adenoidectomy) is collectively called “ Tonsilloadenectomy” or T & A

10. Indications of Tonsilloadenectomy Recurrent episodes of acute or chronic tonsillitis Tonsillar or adenoid hypertrophy causing obstruction of a airway and impaired swallowing Resolution of a peritonsillar abscess Repated ear problems related to eustachain tube obstruction Sinus complications

11. Nursing management of the surgical clients After tonsillectomy, place the client in a lateral decubitus position unitil the client awake and alert. Monitoring vital signs, hemorrhage is the most serious complications. Start oral feeding if once recovery from anesthesia. Pain is the first 7 to 10 post operative days