University:
Northwest College
Course:
VN420 | Child Health
Academic year:

2024
Views:

203

Pages:

2
Author:

Yesenia M.

PHARYNGITIS- PEDS Inflammation of the throat mucosa (pharynx) Sore throat may accompany nasal congestion Group A streptococci- cause of 20-30% cases- requires ABX tx Viral pharyngitis- usually self limiting*, does not require meds, only s/s relief Strep carrier- child who has a + throat culture for streptococci but has NO symptoms, not at risk for complications. Assessment: Fever Sore throat Difficulty swallowing Headache Abd pain Recent viral/step throat in family, daycare, school Inflammation of pharynx/tonsils Petechiae on palate Strawberry appearance on tounge Enlargement and tenderness or anterior cervical nodes Fine red, sandpaper-like rash (scarlatiniform) on trunk or abdomen Throat swab is used for rapid dx** If the swab is negative, second swab can be sent for culture Nursing management: Teach family saline gargles w 8 oz of warm water and a half teaspoon of table salt – if child is old enough to cooperate Analgesics- Tylenol or ibuprofen for fever or pain Throat lozenges/hard candy to easy pain Cool mist to keep mouth moist and prevent drying out d/t mouth breathing Ingest popsicles, cool liquids, ice chips – for hydration Ensure completion of ABX* After 24hrs- instruct parents to replace childs toothbrush + can return to daycare at that time ( no longer contagious)