Questions With Complete Solutions
Tonsilitis: S/S
-Difficulty swallowing (Dysphagia)
-drooling
-mouth breathing
-bad breath
-impaired taste and smell
-nasal & muffled voice
NOTE: it may block the drainage of the ear canal and cause
otitis media
Tonsilitis: Therapeutic management
-pain relief with analgesics
- antibiotics if bacterial
Tonsillitis: Nursing care management
- Tylenol for fever and pain
-ensure fluid intake (soft foods & cool liquid)
- Cold or warm compress to the neck for comfort
- Gargling with warm saline water
- Follow orders for antibiotics
- Teach to take the full doses until completed
- Change out toothbrushes and thoroughly wash oral appliances
,like retainers
-Humidified air
tonsilectomy
surgical removal of the tonsils
Tonsilectomy: nursing management
Definition of pain
-unpleasant sensory and emotional experience
associated with actual or potential tissue damage or described
in terms of such damage
Negative outcomes of inadequately controlled pain in pediatrics
-increased distress
-non-adherence to treatments
-inactivity
-prolonged bed rest
-development of chronic pain
What are the types of pain (classification by duration)
Acute & Chronic pain
What are the types of pain (classification by Etiology)
Nociceptive & neuropathic pain
Acute pain
-pain that is associated with a rapid onset of varying intensity
usually indicates tissue damage (protective function)
Nociceptors
, sensory receptors that enable the perception of pain in response
to potentially harmful stimuli
Nociceptive pain
-pain that reflects stimulation of noxious, secondary to tissue
damage
pain perceived correlates with extent of damage
Chronic Pain
-pain that continues past the expected point of healing for
injured tissue
there is no protective function
may be continuous, intermittent
What are the most commonly associated manifestations of
chronic pain in children?
-abdominal pain
-nonspecific headache
-limb pain
-chest pain
Neuropathic Pain
-pain due to malfunctioning of the peripheral or CNS
may be continous or intermittent
Physical indicator of pain: infants
- Increased HR (sometimes brady in preterm)
-decreased oxygen saturation