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Wednesday, November 18, 2015

Acute Pain and Hyperthermia related to Pharyngitis in Children


Acute pharyngitis is sore throat caused by a virus organism almost 70% and a group A streptococcal bacteria is a common organism with respect to acute pharyngitis were then referred to as "Strep Throat" (Brunner & Suddarth, 2001)

Chronic pharyngitis usually occurs in adult individuals who work / live in a dusty environment, use of excessive sound, suffer from chronic cough, habitual use of alcohol and tobacco.

There are 3 types of pharyngitis:
  1. Hypertrophic (thickening of the common and congested mucous membrane of the pharynx).
  2. Atrophic (the later stages of the first type: a thin membrane, whitish, smooth and wrinkled time).
  3. Chronic granular (swelling of lymph follicles in the walls of the pharynx).

Acute Pain related to inflammation of the pharynx

Goal: expected, decrease pain

Expected outcomes: Children say:
  • That pain is reduced.
  • Adequate sleep and rest.
  • Being able to use non-pharmacological methods to relieve pain.
Interventions:
  • Perform a comprehensive pain assessment, including the location, characteristics, duration, frequency, quality factor and precipitation.
  • Teach about non-pharmacological techniques (such as deep breath).
  • Collaboration: Giving analgesics to reduce pain.
  • Increase rest-sleep.

Rationale:
  • Knowing the level of pain including the location, characteristics, duration, frequency, quality factor and precipitation.
  • Deep breathing is one of relaxation to reduce tension and create a more comfortable feeling.
  • Useful analgesic to relieve pain so that patients become more comfortable.
  • Rest can relax so as to reduce the pain.

Hyperthermia related to inflammation of the pharynx.

Goal: expected normal body temperature.

Expected outcomes:
  • Normal skin temperature.
  • Body temperature.

Interventions:
  • Assess body temperature every two hours.
  • Encourage fluid intake and adequate nutrition.
  • Give a warm compress for example in the armpit.
  • Collaboration: Give antipyretic drugs.
Rationale:
  • Knowing your child's temperature.
  • Intake of fluids and nutrients can help speed the process of spending the body heat.
  • Warm compresses can open the pores of the skin so as to accelerate the process of evaporation.
  • Antipyretic drugs can help reduce the heat.

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