MS chapter 33
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Inflammation of the nasal mucosa. Often called "hay fever" or "allergies"and is the most common problme of the nose and sinuses.
When are colds most easily spread?
the first 2 to 3 days after symptoms begin.
What do nurses want to teach pts with resp infections in limiting the spread of infection?
Washing their hands after blowing their nose or using a tissue.
When a tissue is not available for sneezing, what should the nurse teach pt's regarding sneezing and coughing?
to sneeze or cough into the upper sleeve rather than the hand.
What are some drug therapis used to treat Rhinitis?
Antihistamines, decongestants, antipyretics (fever reducer), antibiotics
What are some complimentary therapies used rhinitis?
Echinacea, Vit C, zinc preparations such as Zicam
what are some supportive therapies used in pt's who have rhinitis?
2000ml/ day fluid intake, humidification
Inflammatino of the mucous membranes of the sinuses. (ethmoid, maxillary or frontal)
Bacterial sinusitis, requiring antibiotic therapy, is usually indicated by what?
Purulentd drainage from one or both nares and lack of respsonse to decongestant therapy.
surgical treatment for sinusitis that is an outpatient procedure used to drain fluid or pus from the sinus
What are some non- surgical treatments for a pt with sinusitis?
- Broad spectrum antibiotics
- Analgesics for pain and fever
- Steam humidification
- Hot and wet packs over the sinus area (will dialate the blood vessels)
- Nasal saline irrigations
surgical treatment for sinusitis that ivolves the surgeon making an incision under the upper lip into the maxillary sinus then removing the infected mucosa.
surgical treatment for sinusits that the surgeion making an opening in the fron portion of the lower nasal bone to improve drainage through the nares.
Nasal antral window procedure.
surgical sinus treatment is a common method of diagnosing and treating sinus disorders. direct inspection of sinus endoscope is completed with the patient under general anesthesia in a same day surgical center.
Endoscopic sinus surgery.
Also known as "sore throat" is a common inflammatino of the mucous membranes of the pharynx
for a pt that has pharyngitis, what is an important procedure to have done to distinguis viral from a group of A beta-hemolytic strep infection?
the management of bacterial pharyngitis involves, involves the use of antibiotics. what is important to stress to pts?
Remind them to comple the entire antibiotic perscription, even when symptoms improve or subside.
for a pt with pharyngitis, who has stridor or indications of airway obstruction, how should they be evaluated?
by a health care provider in a setting in which intubation or tracheostomy can be perfromed quickly and safely.
What do you need to assess for in a pt that has pharyngitis?
odynophagia (pain on swallowing), dysphagia, fever, and hyperemia (excess blood in a part)
What is rare complication of pharyngitis?
What is danger of epiglottis in adults?
can obstruct the airway, inhibiting oxygenation an dtissue perfusion and resulting in a emergent situation.
Inflammation and infection of the tonsils and lymphatic tissues located on each side of the throat?
Tonsilitis is an airborne infection, usually bacterial and treated with antibiotics (penicillin or azithromycin). If antibiotics fail, what surgical interventions may happen?
tonsil shaving, or complete removal of the tonsils
also known as quinsy, this is a complication of acute tonsilitis. The infection spreads from the tonsil to the surrounding tissue, which forms an abcess.
What are some signs of peritonsilar abcess?
Pus behind the tonsil, causing one-sided swelling with deviation of the uvula
What are some symptoms that a pt has peritonsilar abcess?
Trismus (difficulty chewing) and difficulty breathing.
What is a treatment for a peritonsilar abcess besides, a full completion of an antibiotic regimen?
Percutaneous needle aspiration of the abscess.
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