Reflection essay on immediate postoperative care for child after tonsillectomy

This article has been cited by other articles in PMC. Abstract The exact incidence of common post-operative complications in children is not known. Most common one is post-operative nausea and vomiting followed by respiratory complications leading to hypoxia.

Reflection essay on immediate postoperative care for child after tonsillectomy

Contact Us Post Operative Care Instructions Following Tonsillectomy The following instructions will help you know what to expect in the days following surgery. Do not, however, hesitate to call if you have any questions or concerns. Physical Activities After this surgery, children should rest but may play inside after one or two days and may be outside after three or four days, if they feel up to it.

Strenuous physical activity following surgery is discouraged.

Tonsillectomy Post-Op Care | Cleveland Clinic

Children may return to school whenever comfortable; a week is average, but 10 days is not unusual. Diet The more your child drinks, the sooner the pain will subside.

Water, apple juice, grape juice, and Gatorade are excellent sources of liquid. Soft foods such as ice cream, sherbet, yogurt, pudding, apple sauce and jello, should also be encouraged. Other soft, easily chewed foods are also excellent. Avoid hot or spicy foods, or foods that are hard and crunchy.

Often, chewing gum speeds comfortable eating by reducing the spasm after surgery and can be started anytime after surgery. Pain For the first several days occasionally up to 10 days following surgery, pain in the throat is to be expected.

This can usually be controlled with Liquid Tylenol acetaminophen or Tylenol with Codeine prescription will be given at time of surgery. Avoid medication containing aspirin, ibuprofen, or other anti-inflammatory medication, for two weeks. Pain is often worse at night and may prompt the need for additional pain medication.

Ear pain, especially with swallowing is also a common occurrence; it is not an ear infection but due to referred pain from the surgery. Treat it with Tylenol or Tylenol with Codeine. Occasionally a stiff neck may occur.

Please call if it becomes excessively painful. Ice Collar An ice collar can also be helpful for post operative sore throat. Make this by placing ice cubes and water in a large Zip-Loc bag and wrapping it in a towel.

Gently lay the ice pack on the front of the neck. Fever A low-grade fever less than degrees following surgery may occur and should be treated with Tylenol acetaminophen. Follow the directions on the bottle. While children have a fever, they should play quietly or remain in bed.

If the fever persists more than two days or if a higher fever develops, call. Fever may indicate that you have not taken in sufficient fluids or may have an infection. Bleeding Post-operative bleeding is unusual, but it can occur up to two weeks after surgery.

Most bleeding is minor and you may only see a little coating of blood on the tongue. Put your child into bed, sitting upright, and place an ice collar on their neck.

Watch for spitting, coughing, or vomiting of blood. If you suspect bleeding following surgery, call immediately.

Where Nurses Call the Shots

Follow up Arrange to see us three to four weeks after surgery. Appointments can be made at:Cleveland Clinic Children's is dedicated to the medical, surgical and rehabilitative care of infants, children and adolescents.

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Reflection essay on immediate postoperative care for child after tonsillectomy

Postoperative evaluation is commonly performed in two steps, one in the immediate postoperative period in PACU and the second within 24 hours. The hour follow-up helps in assessing the problems that occur following discharge from PACU, when the patient . POSTOPERATIVE CARE OF THE TONSILLECTOMY & ADENOIDECTOMY PATIENT.

We believe there is a correlation between vigorous physical activity and the risk of postoperative bleeding after Tonsillectomy. If the call is during office hours and you need immediate assistance, you may dial “0” and tell the operator what is happening.

Current immediate postoperative nursing care of T&A patients includes: pain management, oral intake of fluid and other comfort measures such as ice collar or humidified oxygen. Some nurses encourage patients to drink fluids while others wait for the patient to have the desire to drink.

Postoperative complications following a large series of adenotonsillectomies ( patients) at the Children's Hospital of Philadelphia fell into two major categories: hemorrhage and airway problems.


Bleeding requiring operative intervention occurred in one child in the immediate postoperative period and in 16 children (%) within 7–10 days. Introduction – What is Tonsillectomy? Tonsillectomy is a form of surgery that involves the removal of tonsils.

The tonsil removal at times includes the simultaneous removal of adenoids.

Nursing care of patients undergoing tonsillectomy by on Prezi