Introduction
A tonsillectomy and adenoidectomy is a surgery to remove your child's tonsils and adenoids. It is also known as an adenotonsillectomy. Tonsils and adenoids are collections of lymphoid tissue at the back of the throat. This procedure is often done when nonsurgical treatments have not been able to resolve problems such as:
A blocked airway.
Recurring ear, nose, or throat infections.
Growth of a cancerous tumor.
Problems with how head and facial structures were formed (deformity).
Tell a health care provider about:
Any allergies your child has.
All medicines your child is taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines, especially those containing aspirin, ibuprofen, or valproic acid.
Any problems
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Persistent ear pain.
Persistent pressure in your child's ears.
Nausea and vomiting.
Dehydration.
What happens before the procedure?
Exams and tests
Your child may have an exam.
Your child may have tests. A blood or urine sample may be taken for testing.
Staying hydrated
Follow instructions from your child's health care provider about hydration, which may include:
Up to 2 hours before the procedure – your child may continue to drink clear liquids, such as water, clear fruit juice, black coffee, and plain tea.
Eating and drinking restrictions
Follow instructions from your child's health care provider about eating and drinking, which may include:
8 hours before the procedure – have your child stop eating heavy meals or foods such as meat, fried foods, or fatty foods.
6 hours before the procedure – have your child stop eating light meals or foods, such as toast or cereal.
6 hours before the procedure – have your child stop drinking milk or drinks that contain milk.
2 hours before the procedure – have your child stop drinking clear liquids.
Medicine
Ask your child's health care provider about:
Changing or stopping your child's regular medicines. This is especially important if your child is taking diabetes medicines or a blood
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What happens during the procedure?
To lower your child's risk of infection:
Your child's health care team will wash or sanitize their hands.
Your child may be given antibiotic medicine to prevent infection.
An IV tube will be inserted into one of your child's veins. If IV insertion is difficult for your child to manage he or she may be given to help him or her relax (sedative).
Your child will be given a medicine to make him or her fall sleep (general anesthetic).
A device will be placed inside of your child's mouth to press her or his tongue down.
An electrocautery device which uses heat energy may be used to cut the tonsils and adenoids out and close the surrounding blood vessels at the same time so that your child will have less risk of bleeding after the procedure.
The adenoids will be removed from the back of your child's nose and the blood vessels in the area will be burned with the electrocautery device (cauterized) or closed up with stitches (sutured) to prevent bleeding.
Your child may be given a steroid medicine in the IV to help reduce swelling and
Amazingly, the Center for Disease Control and Prevention discovered almost 50% of adults currently have some form of gum disease. Because this problem is so prevalent, we must educate you on what gum disease is and how you can reverse or repair the damage caused by the condition.
Then after threading a catheter through the needle, the anesthesiologist will withdraw the needle and leave the catheter i...
IV sedation is reserved for our most complicated procedures and patients with very high levels of fear and anxiety. IV sedation creates a sleep-like state that allows you to wake up from a procedure with no memory of the sights, smells, sounds, or sensations that occurred during the treatment. This form of sedation is administered through an intravenous line and only by a licensed
Otitis Media (OM) is a common middle ear infection that occurs from a build up of fluid within the middle ear (Williams, 2003). This build up of fluid, or pus, is caused by a viral or bacterial infection within the middle ear (Williams, 2003). It is a common disease in childhood that can affect children and infants from as young as 6 weeks of age (Williams, 2003). Some symptoms include redness and inflammation within the ear canal, a bulging tympanic membrane, earaches, loss of hearing, and even nausea, dizziness and vomiting (Williams, 2003; Rural Health Education Foundation, 2014). As young children who develop the infection may not be able to communicate that their ears are sore, they will instead try and relieve this
Laryngectomy is partial or total removal of the voice box (larynx). Your larynx is located at the top of your throat. It lets you speak and breathe by allowing air to pass through your throat. After having a laryngectomy, you will no longer be able to breathe out of your mouth. You will have an opening (stoma) in the front of your neck. After your surgery, you will breathe through the stoma.
Several skills are beneficial to the nurse and paramedic, but perhaps one of the most important skills is the ability to place an intravenous catheter into a vein. This procedure is most commonly referred to as “starting an IV”. In today’s medical community, intravenous cannulation is necessary for the administration of many antibiotics and other therapeutic drugs. Listed below are the procedures and guidelines for starting a successful IV. Following these instructions will provide a positive experience for the patient and clinician.
...ve Achondroplasia. Clinical laboratories have available testing for the FGFR3 gene. When a child is diagnosed with Achondroplasia, parents should look for changes in bowel or bladder function, muscle weakness, and asymmetrical reflexes or respiratory problems. Many babies with Achondroplasia have troubles with repeating ear infections. Some may need ear tubes, which are placed into the ear to allow air in the middle ear to help lower the chances of ear infections. Without these tubes, the baby could lose its hearing. The spinal cord can also get compressed, making the upper airway obstructed, and increasing the risk of death for the baby. People with Achondroplasia also have breathing problems, during this breathing either stops or slows down for short amounts of time. ("GeneFacts")
If there is any pre-op for this minor surgery there really isn’t any for the patient and for the medical assistant would be to get the exam room ready and to have all of the supplies and equipment ready for the physician.
Stocks, M.D., M. S., Wang, M.D., W. C., Thompson, M.D., J. W., Stocks, M.D., M. C., & Horwitz, M.D., E. M. (n.d.). Malignant infantile osteopetrosis. Archives of Otolaryngology—Head & Neck Surgery, a monthly peer-reviewed medical journal published by AMA. Retrieved November 27, 2011, from http://archoto.com
Changing or stopping your child’s regular medicines. This is especially important if your child is taking diabetes medicines or
In conclusion, venepuncture for babies in the radiology department requires the nurse to be equipped with due knowledge, skills and training. It is also essential to highlight and address other factors surrounding the procedure as the ones mentioned in this discussion. At the end of the day, a multi-disciplinary team always co-exist for every patient’s need and it is inherent for each to perform the duties associated in a competent manner. It is also just to conclude no person is indispensable and nurses therefore must take on new courses and training to assume new duties.
...e baby still seems to have too much fluid in his or hers mouth or nose, the nurse may do further suctioning at this time. At one and five minutes after birth, an Apgar assessment will be done to evaluate the baby's heart rate, breathing, muscle tone, reflex response, and color. If the baby is doing well, the mother and the baby will not be separated. The nurse will come in from time to time to change diapers, check the babies temperature, and perform other tasks while the baby spends time with his or her mother and father (B. C. Board).
As Hill et al. puts it: “The enlargement of a tumor in a contained space leads to increased pressure throughout the entire cranial vault. As a result, . . . 10% [of patients] experience nausea and vomiting” (4). When this sort of force occurs in certain parts of a child’s brain, swelling will ordinarily occur, usually resulting in a major effect on the sides of the brain. It is rare for a child to experience all three symptoms (headache, vomiting, and inflation of the head). This situation occurs in one of ten children with brain tumors (Molineus et al. 308). Second of all, another recurrent sign of a brain tumor is a decrease in the amount of enthusiasm of a child. Numerous times, parents think that their child is not getting enough sleep, but this symptom is particularly significant in the diagnosis of brain tumors in children. Going hand-in-hand with low enthusiasm, a loss of weight is likely to occur as the amount of zest dwindles. Loss of weight usually does not denote that a child has a brain tumor, but, according to the study taken by Wilne et al., weight loss does occur in one out of every five children with a brain tumor. This weight loss might not be too noticeable in the beginning, but as the children
If the patient has an inadequate or no oral intake of food for 1 - 3 days, then nutritional support by the enteral route is required.