Nursing Care Plan For Tonsillitis 111o2v

Nursing Care Plan for Tonsillitis

Nursing Assessment for Tonsillitis

1.

The main complaint : Pain in the throat, painful swallowing, fever etc.

2.

History of present illness : an attack, characteristics, incidence, progression, therapeutic effect, etc.

3.

Past medical history :

o

Birth history

o

Immunization history

o

Who had suffered disease (recurrent pharyngitis, respiratory infection, otitis media)

o

History of hospitalization

4.

General assessment :

o

Age, level of consciousness, antopometri, vital signs, etc.

o

Breathing

o

Difficulty breathing, coughing

5.

Nutrition : Sore throat, painful swallowing, decreased appetite, refusing to eat and drink, less turgor

6.

Activity / rest : Appear weak, lethargic, irritable, malaise

7.

Security / comfort : Anxiety of children to hospitalization

Nursing Diagnosis and Nursing Intervention for Tonsillitis

Hyperthermia related to inflammatory processes in the pharynx and tonsils

Nursing Intervention :



Monitor the child's body temperature (degrees and patterns), note the presence of chills



Monitor the temperature of the environment



Limit the use of linen, clothing worn client



Give a warm compress



Give plenty of fluids (1500 - 2000 cc / day)



Collaboration of antipyretic

Pain related to swelling of the tonsils

Nursing Intervention :



Monitor the client's pain (scale, intensity, depth, frequency)



Assess vital signs



Provide a comfortable position



Give relaxation techniques with a long inhale through nose and release it slowly through mouth



Provide distraction techniques to divert the attention of child



Collaboration of analgesic