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

2024
Views:

20

Pages:

2
Author:

Yesenia M.

TONSILLITIS – PEDS Inflammation of the tonsils often occurs w pharyngitis Can be viral or bacterial No tx for viral infections. Sometimes sx intervention will be needed * → tonsillectomy , removal of tonsils. INDICATED FOR CHILD W RECURRENT STREPTOCOCCAL TONSILITTIS OR MASSIVE TONSILLAR HYPERTROPHY. Nursing assessment: Fever Recurrent pharyngitis or tonsilittis Muffled or hoarse voice Redness of pharynx Enlarged tonsils → KISSING TONSILS* 4+ in size → can lead to airway obstruction Difficulty breathing and swallowing Enlarged adenoids Breathing through mouth and snoring Rapid test/culture + for streptococcus A Nursing management after TONSILLECTOMY: Position to side or prone until fully awake to prevent aspiration of secretions Once fully awake- HOB elevated Suction if needed – CAREFULLY to avoid trauma Monitor for hemorrhage although its unusual- watch for s/s up to 10 days s/p sx- tachycardia, pallor, restlessness, frequent throat clearing, emesis w bright blood Mucus tinged w blood – expected Fresh blood in secretions- not expected → indicates BLEEDING Watch for continuous swallowing Discourage coughing, clearing throat, blowing nose and using straws Encourage PO fluids after- popsicles and ice chips No citrus juices after- can irritate the throat No brown or red fluids – to avoid confusing it w blood in case of vomiting Ice collar as prescribed – for pain management