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URI interventions (5) Answer: Interventions to maintain patent airway
Promote comfort
-Analgesics
-Gargles for sore throat
-Use of hot packs for sinus congestion
-Ice collar to reduce swelling/bleeding post tonsillectomy and adenoidectomy
Rest
Refrain from speaking, use alternative communication
Encourage liquids; 2 to 3 L a day, appropriate foods (soft)
Management of URI: Patient teaching focus on prevention and health promotion Answer:
↓Exposure to allergens
Read medication labels (especially Tylenol)
Nasal saline and other meds
Management of URI: Special considerations for older adults Answer: Possibly more serious
Flu vaccines
Pharyngitis may be R/T GERD
Causes of Rhinosinusitis: Vasomotor (4) Answer: Idiopathic
Abuse of nasal decongestants (rhinitis medicamentos)
Psychological stimulation (anger, sexual arousal)
Irritants (smoke, air pollution, exhaust fumes, cocaine)
Causes of Rhinosinusitis: Mechanical (6) Answer: Tumor
Deviated Septum
Crusting
Hypertrophied turbinates
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, Foreign body
Cerebrospinal fluid leak
Causes of Rhinosinusitis: Chronic inflammatory (4) Answer: Polyps (in cystic fibrosis)
Sarcoidosis
Wegener's granulomatosis
Midline granuloma
Causes of Rhinosinusitis: infectious (3) Answer: Acute viral infection
Acute or chronic rhinosinusitis
Rare nasal infections (syphilis, tuberculosis)
Causes of Rhinosinusitis: Hormonal (3) Answer: Pregnancy
Use of oral contraceptives
Hypothyroidism
Viral Rhinitis: Medical management Answer: Inhalant medications
-Histamine blockers
-Decongestants
-Corticosteroids
-Allergy Testing
Describe Rhinitis Answer: The mucous membranes lining the nasal passage become
inflamed, congested, and edematous. The swollen nasal conchae block the sinus
openings, and mucus is discharged from the nostrils
Describe Rhinosinusitis Answer: Also marked by inflammation and congestion, with
thickened mucous secretions filling the sinus cavities and occluding the openings
Rhinitis & Rhinosinusitis self care education Answer: Modes of transmission
Hand hygiene
Medication administration
Describe Acute Pharyngitis Answer: Sudden painful inflammation of the pharynx, the back
portion of the throat that includes the posterior third of the tongue, soft palate, and tonsils.
Commonly referred to as sore throat
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