DEFINITION OF THE CASE

- Tonsillitis is inflammation of the tonsils in the upper part of the throat. The cause of
tonsillitis is usually a viral infection. Bacterial infections such as strep throat can also cause
tonsillitis.
- two types of tonsilitis are acute and chronic, acute tonsilitis is sudden onset, acute
inflammation and resolves within 1 week while chronic tonsilitis is gradual onset, persistent
neck lymph glands enlargement and extends beyond 2 weeks.
II. PREDISPOSING FACTORS
- Cold drinks, cold weather
- Close contact with infected person
- Preschool and middle age group children
- Exposure to a lot of pollution
III. SHORT PATHOPHYSIOLOGY
- When tonsils get inflamed, they became red, swollen and may develop pus pockets
that start exuding a discharge. In cases with recurrent infections, the tonsils may become
so swollen over a period of time so as to almost touch each other. Tonsillitis occurs when
the tonsils become inflamed or infected. Many cases resolve on their own, but some
bacterial infections require treatment. Repeated bacterial infections, or those that do not
respond to treatment, may result in surgery to remove the tonsils.
IV. LABORATORY/DIAGNOSTIC EXAMS
- Throat swab/Throat culture- this is used to get a sample of the secretion from the
back of the throat and sent it to the laboratory to identify the cause of throat infection
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V. MAIN MEDICAL MANAGEMENT

- requires immediate emergency care to prevent complete airway occlusion. The
child's airway will be closely monitored, and, if needed, the child's breathing will be assisted
with machines. Also, intravenous (IV) therapy with antibiotics will be started immediately.
This will help treat the infection by the bacteria.
VI. DRUG STUDY
- Amoxicillin 500 mg orally
- This medicine is an antibiotic that is similar to penicillin. As it is an antibiotic, it is
recommended to treat tonsillitis caused due to bacteria. The medicine works by curbing
bacterial growth.
VII. NURSING MANAGEMENT
- Assess vital signs, mouth/throat/nose and for signs of dehydration.
- Administer medications
- Prepare patient for and assist with surgery as required
- Provide patient and parent education for home care and prevention
VIII. IMPORTANT HOMECARE TEACHINGS
- Have plenty fluids and rest
- Wash hands with soap and water regularly to avoid spreading the infection
- Cover the mouth while coughing or sneezing
- Clean house often to get rid of dust, animal dander or molds
- Avoid cold food and drinks
- Avoid oily and fried foods
- To soothe the throat, intake of fluids, like warm water, and lemon and honey juice