care of tonsilitis patient
TRANSCRIPT
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BY : SRN NOORHAZAMINNURSING EDUCATION SERVICES
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At the end of this session, you will be able to :State the definition of tonsilitis.
List the etiology of tonsilitis.Identify the pathophysiology of tonsilitis.
State the sign & symptom of tonsilitis.
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LEARNING OBJECTIVES cont.Identify the complication of tonsilitis.
Identify the nursing intervention & appreciate the nursing care for tonsilitis patient.
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PATIENT’S PROFILE MISS. A
FEMALE
23 YEARS OLD
STUDENT
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PATIENT’S PROFILE WALKED IN
CALM
ALLERGICS - NIL
D.O.A 3/5/12 @ 1040H
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Doctor = Dr F
Diagnosis = RECURRENT TONSILITIS
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PATIENT’S PROFILE MEDICAL HISTORY Tonsilitis & rhinitis since Nov 2011
SURGICAL HISTORY Nil
FAMILY MED HISTORY Sinusitis (father)
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CURRENT MEDICATION
Efurox 1 BD
Aerius 5mg Nocte
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VITAL SIGN TEMPERATURE : 36.0˚C BLOOD PRESSURE :120/70mmHg
PULSE : 80 bpm RESPIRATION : 21 bpm PAIN SCORE : 5
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ACTIVITY DAILY LIVING
Having difficulty in swallowing and pain during swallowing
Loss of appetite
Anxious and asking many questions.
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PHYSICAL EXAMINATION
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S/B Dr F in clinicSurgical Profile NBM For tonsilectomy
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Tonsils are large lymphoid tissue situated in the lateral wall of the oropharynx.
They form lateral part of the Waldeyer's ring.
Tonsil occupies the tonsillar fossa between diverging palato-pharyngeal and palatoglossal folds
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Tonsil has two surfaces, medial and lateral; two borders anterior and posterior; two poles upper and lower; two developmental folds plica triangulris and plica semilumris; and one cleft intratonsillar cleft.
Medial surface is covered by squamous epithelium and presents 15-20 crypts usually plugged with epithelial and bacterial debris
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Lateral surface extends deep to surrounding boundaries. It is coated with a fibrous sheet, an extension of pharyngobasilar fascia called capsule of the tonsil.
The capsule is loosely attached to the muscular wall but antero-inferiorly it is attached firmly to the side of the tongue just in front of insertion of palatoglossus and palatopharyngeus muscles
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Chronic tonsilitis Peritonsillar abcess Para pharyngeal abcess Otitis media Rheumatic Fever Laryngeal oedema Septicaemia
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Haemoglobin 11.3g/dL (11.5-16.0)
Sodium 134mmol/L (135-155)
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DRUGSORDERED ON PRE MED
DATEORDERED
Tab Zantac 150 mg STAT 3/5/12
Tab Maxalon 10 mg STAT 3/5/12
Tab Celebrex 200 mg STAT 3/5/12
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DRUGSPOST OPERATIVE
DATEORDERED
DATE OFF
IV Zinacef 750mg TDS 3/5/12 5/5/12
IV Dynastat 40mg BD 3/5/12 5/5/12
IM Pethidine 50mg 8H PRN 3/5/12 5/5/12
Danzen 1/1 TDS 3/5/12 5/5/12
Difflam Lozenges 1/1 TDS 3/5/12 5/5/12
PCM 11/11 PRN TDS 3/5/12 5/5/12
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Alteration in comfort pain related to sorethroat.
NURSING DIAGNOSIS
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Alteration in emotional status anxiety related to surgical procedure.
NURSING DIAGNOSIS
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NURSING DIAGNOSIS Potential bleeding related to surgical wound.
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NURSING DIAGNOSISPotential infection related to surgical incision.
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NURSING DIAGNOSIS Potential infection related to intravenous cannula insertion.
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NURSING DIAGNOSIS Knowledge deficit related to treatment regime and post operative hygeine care.
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