Signs and symptoms of Acute Tonsillitis are:
- Sore throat
- Pain swallow
- Difficulty in swallowing
- Fever
- Nausea
- Anorexia
- Swollen neck lymph nodes
- Pharyngeal hyperemia
- Pharyngeal edema
- Enlarged tonsils
- Tonsil hyperemia
- Halitosis
- Otalgia (ear pain)
- Malaise
Nursing Interventions for Acute Tonsillitis
1. Hyperthermia related to inflammatory processes in the tonsils
Intervention:
- Monitor your child's temperature (degrees and patterns), note the presence of shivering.
- Monitor the temperature of the environment.
- Limit the use of linen, clothing worn clients.
- Give warm compresses.
- Give plenty of fluids (1500 - 2000 cc / day).
- Collaboration of antipyretics.
2. Acute pain related to swelling of the tonsils
Intervention:
- Monitor the client's pain (scale, intensity, depth, frequency).
- Assess vital signs.
- Provide a comfortable position.
- Give relaxation techniques with a long deep breath through your nose and release it slowly through your mouth.
- Give a distraction technique to distract the child.
- Collaboration of analgesics.
3. Imbalanced Nutrition: less than body requirements related to related to the existence of anorexia
Intervention:
- Assess conjungtiva, sclera, skin turgor.
- Weigh weight each day.
- Provide food in a warm state.
- Provide food in small portions but often serve food in the form of interest.
- Increase comfort when eating environment.
- Collaboration of appetite enhancer vitamins.
4. Activity intolerance related to weakness
Intervention:
- Assess the client's ability to perform activities.
- Observation of fatigue in the activity.
- Monitor vital signs before, during and after the activity.
- Provide a quiet environment.
- Increase activity as tolerated clients.
5. Disturbed Sensory Perception: hearing related to obstruction
Intervention:
- Review the client's hearing loss.
- Do ear irrigation.
- Speak clearly and slowly.
- Use the white board / paper to communicate if there is difficulty in communicating.
- Collaboration audiometric examination.
- Collaboration of ear drops.
