LESSON PLAN
ON
TONSILITIS
Course : [Link]. (N)
Subject : Medical Surgical Nursing - II
Topic : tonsilitis
No. of Students : 98
Venue : BSc (N) III – year class room
Date and Time :
[Link] : Block board, OHP
General objectives: After completion of the class, the students will be able to explain
about leadership theories
Tim Specific Content Teacher & Av Evaluation
e objectives learner aids
activity
Definition :
5 Definition of Tonsillitis is inflammation of Teacher Blac
min Tonsilis tonsils, typically of rapid onset. define the k
definition. boar
d
Etiology :
Listout the acute follicular tonsillitis
What is
etiology scarlet fever Teacher
diphtheria?
Vincent angina listout the
5 Infections mononucleosis etiology
OHP
min Diphtheria
Membranes associated with
blood disease
Pathophysiology :
Recurrent tonsillitis
Explain the
pathophysiol Fibrosis of tonsicular crypt
ogy Teacher
explain the
Closure of tonsillar crypt due to pathophysiol Char
10
new infection ogy t
min
Pus breaks through the capsule of
tonsil
Peritonsillar cellulitis
Peritonsillar abscess
Signs & symptoms :
Listout the Difficulty in swallowing What is
signs & Chills, fever malaise?
symptoms Fatigue, malaise
Congestion or runny Teacher
nose explain the
5 OHP
Enlarged neck lymph signs and
min
nodes symptoms
Sore throat
Swollen tonsils
Bad breath
Excess salivation
Mouth breathing
Poor appetitis
Pus, snoring
Lender lymph nodes
Diagnostic evaluation :
History collection
Physical examination
Radiographic
examination
Listout the Peak expiratory flow
Diagnostic rate (PEFR)
evaluation Allergy skin test
Teacher
5mi Management : explain the
Blac
n Pharmacological management : diagnostic
k
evaluation
Analgesics boar
Antimicrobial therapy – d
Explain the penicillin
management Erythromycin
Antibiotics
Surgical management: Teacher
Tonsillectomy explain the
7mi Adenoidectomy management
n Pharyngolensillectomy
Dietary management : OHP
=) eat foods and drink fluids
that help soothe your throat warm
What is
liquids such as tea
tonsillectom
=) eat cold treats such as ice y?
cream progen
Nursing management :
=) droplet isolation
=) bed rest, mental rest
=) provide restful
environment & reduce factors that
promote paroxysm (dust, smoking)
=) encourage fluid, small
frequent feeding
=) increase humidity
=) observe for signs of air
way obstruction
=) small amount of sedatives
may be necessary to quiet the
patient
Complication :
Listout the Chronic tonsillitis
complication Peritonsillar abscess
s Parapharyngeal abscess
Cervical abscess
Listout the
Acute otitis media
complicatio
Rheumatic fever
ns?
Acute glomerulonephritis Teacher
Acute bacterial endocarditis listput the
complication
3mi
n
OHP
Summary :
End of the class we summarized about Tonsilitis definition, causes, signs and symptoms
and nursing management.
Bibliography:
Lewis, Medical Surgical Nursing, volume I, South Asia Edition, 2011,
page no.923 - 926.
Joyce. M. Black, Medical Surgical Nursing, 6th edition, Elsevier
publication, page no. 768- 770.
Medical and surgical nursing, [Link], 4 th edition, AITBS
publication, India, page no. 241 – 243.
