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1.
3/14/2024 © R
R INSTITUTIONS , BANGALORE 1 SUBJECT – MEDICALAND SURGICAL NURSING TOPIC - PHARYNGITIS BY - DOLISHA WARBI
2.
3/14/2024 © R
R INSTITUTIONS , BANGALORE 2 PHARYNGITIS
3.
CAUSES: 1. Viral Infections:
The majority of pharyngitis cases are caused by viruses, such as the common cold virus, influenza virus, or Epstein-Barr virus (which causes infectious mononucleosis). 2. Bacterial Infections: Streptococcus bacteria, specifically Group A Streptococcus, can cause bacterial pharyngitis, commonly known as strep throat. 3. Irritants: Environmental factors like smoke, pollution, or dry air can irritate the throat and lead to pharyngitis. • Symptoms: 1. Sore Throat: The primary symptom is pain or discomfort in the throat. 2. Difficulty Swallowing: Swallowing may be painful or difficult. 3. Redness and Swelling: The back of the throat may appear red and swollen. 4. Fever: Infections, particularly bacterial ones, may be accompanied by a fever. 5. Headache and Body Aches: These are common symptoms, especially with viral infections. 6. Cough: A persistent cough may be present in some cases. SYMPTOMS: 1. Sore Throat: The primary symptom is pain or discomfort in the throat. 2. Difficulty Swallowing: Swallowing may be painful or difficult. 3. Redness and Swelling: The back of the throat may appear red and swollen. 4. Fever: Infections, particularly bacterial ones, may be accompanied by a fever. 5. Headache and Body Aches: These are common symptoms, especially with viral infections. 6. Cough: A persistent cough may be present in some cases. 3/14/2024 © R R INSTITUTIONS , BANGALORE 3
4.
DIAGNOSIS: 1. Clinical Examination:
A healthcare professional may examine the throat, check for redness and swelling, and look for signs of bacterial infection. 2. Throat Culture: A swab of the throat may be taken to test for bacterial infections, especially if streptococcal pharyngitis is suspected. 3. Rapid Antigen Test: This is a quick test to detect streptococcal bacteria. 4. Blood Tests: In some cases, blood tests may be conducted to identify the presence of certain viruses. 3/14/2024 © R R INSTITUTIONS , BANGALORE 4
5.
Treatment: 1. Viral Pharyngitis:
Typically resolves on its own, and treatment focuses on relieving symptoms. Rest, hydration, and over-the-counter pain relievers may be recommended. 2. Bacterial Pharyngitis (Strep Throat): Antibiotics, such as penicillin or amoxicillin, are prescribed to treat bacterial infections. It's crucial to complete the full course of antibiotics even if symptoms improve. 3. Symptomatic Relief: Over-the-counter pain relievers (acetaminophen or ibuprofen), throat lozenges, and throat sprays can help alleviate discomfort. 4. Rest and Hydration: Adequate rest and staying hydrated are essential for recovery. 5. Avoiding Irritants: Avoiding smoking and exposure to other irritants can aid in the healing process. 3/14/2024 © R R INSTITUTIONS , BANGALORE 5
6.
NURSING MANAGEMENT: 1. Assessment: •
Thorough History: Obtain a detailed medical history, including the onset of symptoms, recent illnesses, and exposure to others with similar symptoms. • Physical Examination: Assess the throat for redness, swelling, tonsillar exudates, and other signs of inflammation. 2. Patient Education: • Transmission Prevention: Educate patients on the contagious nature of some types of pharyngitis and the importance of hand hygiene to prevent the spread of infections. • Medication Adherence: Provide information on prescribed medications, their purpose, and the importance of completing the full course of antibiotics if bacterial pharyngitis is diagnosed. 3. Symptom Management: • Pain Relief: Administer prescribed pain relievers or recommend over-the-counter medications. Encourage the use of throat lozenges or sprays. • Hydration: Emphasize the importance of staying well-hydrated to soothe the throat and prevent dehydration. 4. Comfort Measures: • Warm Salt Gargles: Recommend warm saltwater gargles to relieve throat discomfort. • Humidification: Suggest the use of a humidifier to add moisture to the air and ease respiratory and throat symptoms. 5. Monitoring and Documentation: • Vital Signs: Regularly monitor vital signs, especially if the patient has a fever. • Symptom Progression: Document the progression or resolution of symptoms to assist in evaluating the effectiveness of the treatment plan. 6. Isolation Precautions: • Infectious Cases: If the pharyngitis is suspected to be bacterial (e.g., strep throat), follow appropriate isolation precautions until the patient is no longer contagious. 7. Nutritional Support: • Dietary Guidance: Provide guidance on a soft diet if swallowing is painful. Encourage the consumption of cool or warm liquids. 8. Follow-up and Referral: • Follow-up Care: Schedule follow-up appointments to monitor the patient's progress and adjust the treatment plan if necessary. • Referral: If symptoms persist or worsen, consider referring the patient to a healthcare provider for further evaluation. 9. Infection Control: • Hand Hygiene: Emphasize the importance of hand hygiene for both the patient and caregivers to prevent the spread of infection. • Personal Protective Equipment (PPE): If applicable, ensure the use of appropriate PPE to protect healthcare providers. 10.Collaboration with Healthcare Team: • Communication: Maintain open communication with physicians and other healthcare team members to discuss patient progress and any changes in the treatment plan. 3/14/2024 © R R INSTITUTIONS , BANGALORE 6
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