Tonsillitis is an inflammation and infection of the tonsils, while adenoiditis is inflammation and infection of the adenoids. Both of them are usually manage by tonsillectomy and adenoidectomy.
Signs and Symptoms:
- Enlarged, bright red tonsils (may be covered by white exudates)
- Persistent or recurrent sore throat
- Swallowing difficulties
- Fever
- Cough
- Mouth breathing and unpleasant mouth odor
- Enlarge adenoids lead to nasal quality of speech, mouth breathing, hearing difficulties, snoring, or obstructive sleep apnea
Pre-operative Interventions:
- Observe for sign of active infection
- Assess bleeding and clotting studies
- Assess for any loose teeth to decrease the risk of aspiration during surgery
Post-operative Interventions:
- Place patient in prone or side-lying position to facilitate drainage
- Keep suction equipment in reach, however do not suction unless if there is any airway obstruction
- Discourage coughing or clearing the throat
- Avoid milk products initially
- Provide clear, cool, noncitrus and noncarbonated fluid
- Avoid red liquids since will stimulate the appearance of blood if the child vomits
- Do not give child any straws, forks, or sharp objects that can be put in the mouth
- Administer acetaminophen (Tylenol) for sore throat as prescribed
- Notify physician if bleeding, persistent earache, or fever occur
- Instruct parent to keep child away from crowds until heal
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