TONSILITIS

Question 1

The tonsils are composed of ____ and are situated on each side of the ____

Answer 1

lymphatic tissue

oropharynx

Question 2

function to protect against infections that could enter the body through the nose and throat

Answer 2

TONSILS

Question 3

If a child has a sore throat or tonsillitis, the body will compensate by producing _____. However, if tonsillitis keeps recurring, it can lead to the formation of ________. These complexes can potentially damage the ____. In adults, this condition is referred to as ________, which can cause valvular disorders.

Answer 3

antibodies

antigen-antibody complexes

heart

Rheumatic Heart Disease

Question 4

CLINICAL MANIFESTATIONS

→ Sore throat, fever, snoring, and difficulty swallowing.

→ Enlarged adenoids may cause mouth breathing, earache, draining ears, frequent head colds, bronchitis, foul-smelling breath, voice impairment, and noisy respiration.

→ Infection can extend to the middle (acute otitismedia), which can lead to spontaneous rupture of the tympanic membrane and further extension of the infection into the mastoid cells(acute mastoiditis).

Answer 4

to know

Question 5

is indicated if the patient has had repeated episodes of tonsillitis despite antibiotic therapy

Answer 5

Tonsillectomy

Question 6

An initial sign of hemorrhaging after a tonsillectomy is ___ as __

Answer 6

swallowing frequently as mucus and blood combine to increases secretions

Question 7

Symptoms of postoperative complications in Tonsillectomy include: (4)

Answer 7

fever
throat pain
ear pain
bleeding

Question 8

✓ Bleeding may be seen as bright red blood if the patient _____ it before swallowing it.

✓ If the patient swallows the blood, it becomes brown because of the ______

Answer 8

expectorates

action of the acidic gastric juice.

Question 9

❖ POST OP CARE: TONSILLECTOMY

Answer 9

→ Apply ice collar because it causes vasoconstriction which stops bleeding, relieve pain and reduces edema.

→ Gentle gargle with warm saline or a pinch of salt 3 to 4 times daily because this can attract water which can lessen the edema; and it thins the mucus, making it easier for the patient to expectorate phlegm.

→ Use of acetaminophen to relieve pain.

→ Elevate the head 45 degree when client is fully awake because this position decreases surgical edema and increases lung expansion.

→ Instruct patient not to cough, clear the throat, blow the nose, and use a straw for 1 to 2 weeks because these actions increase pressure on the suture line and may cause disruption and bleeding.

→ Instruct patient to avoid carbonated fluid and fluids high in citrus content because it is caustic to the surgical site and may disrupt the suture line.
▪ Because these can irritate the wounds.
▪ Carbonate (high in sugar) is a good medium for the growth of bacteria.

→ Encourage them to first try ice chips, followed by small sips of cold fluids, popsicles, and then full liquids.

→ Advise patient to add soft food, gelatin, sherbet as tolerated after the first 24 hours postoperatively.

→ Avoid spicy foods and rough-textured foods such as popcorn, peanuts, crackers, granola, cereal, and whole-grain bread because these may lead to coughing and affect the suture line.

→ Avoid milk, bananas, cheese, yogurt, and French fries because these can thicken the mucus.

→ If the patient vomits large amounts of dark blood or bright-red blood at frequent intervals, pulse rate and temperature rise and the patient is restless, notify the surgeon immediately.

→ Advise patient to avoid vigorous toothbrushing or gargling because these can cause bleeding.