TONSILLITIS

definition 

 Inflammation of tonsils is often a result of a viral or bacterial pharyngitis.

1. 10% to 15% of cases are caused by group A beta-hemolytic streptococci.

2. Tonsils aid in protecting the body from infection.

B. Assessment findings

1. Enlarged, red tonsils; fevers

2. Sore throat, difficulty swallowing, mouth breathing, snoring

3. White patches of exudate on tonsillar pillars; enlarged cervical lymph nodes

C. Nursing Diagnoses Related to Tonsillitis

• Acute pain

• Hyperthermia

• Deficient knowledge

• Risk for deficient fluid volume

D. Interventions

1. Comfort measures and symptomatic relief:

a. Cool mist vaporizer

b. Salt water gargles, throat lozenges

c. Acetaminophen

2. Antibiotics for bacterial infection, usually penicillin or erythromycin

3. Surgery: removal of tonsils alone or with Adenoids