and eyes. `hat is Sinusitis? It is a common infection that may occur in any of the paranasal sinuses.
Pansinusitis ± is an infection of one or
more sinuses. ëcute sinusitis symptoms often include: rainage of a thick, yellow or greenish discharge from the nose or down the back of the throat. Nasal obstruction or congestion, causing difficulty breathing through your nose Pain, tenderness, swelling and pressure around your eyes, cheeks, nose or forehead ëching in your upper jaw and teeth Reduced sense of smell and taste Cough, which may be worse at night
Other signs and symptoms can include:
Ear pain Sore throat Bad breath (halitosis) Fatigue Irritability Fever Nausea Pathophysiology Precipitating factors: Predisposing factors: ëllergies, ëge Nasal Gender deformities, HIV infection. Cold weather Gsually follows rhinitis, which may be viralorallergic,abrupt pressurechanges (airplanes,diving)or dentalextractionsor infections
Inflammation andedema of mucous membranes lining the sinuses
obstruction.
This providesfor an opportunistic bacterial invasion.
`ith inflammation, the mucosal lining of the sinuses produce mucoid
drainage. Bacteria invade andpusaccumulates inside the sinus cavities.
Postnasal drainage causesobstruction of nasal passages
and an inflamed throat
If the sinus orifices are blocked by swollen mucosal lining,
the pus cannot enter the nose and builds up pressure inside the sinus cavities. Medical Management Gse of appropriate antibiotic to manage the bacterial infection econgestants to reduce nasal edema Corticosteroids nasal sprays to reduce mucosal inflammation Humidification by use of saline solution or a vaporizers or humidifier to prevent nasal crusting and to moisten secretions Nursing Management For 24 hrs. after surgery observe for profuse nasal bleeding, respiratory distress, ecchymosis, and orbital and facial edema ëpply ice to the nose and cheek to minimize edema and control bleeding Place client in a position with the head of the bed greater than 45 deg,. For 24-48 hrs after surgery to minimize postoperative edema Give mild analgesics to the client to minimize discomfort postoperatively and before removing of the packing Instruct client to increase fluid intake Teach client to sneeze only with the mouth open Nasal saline sprays may be started 3 to 5 days after surgery to moisten the nasal mucosa Explain to client to only engage in minimal physical exercise and to avoid strenous activity.