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LARYNGITIS AND ITS NURSING MANAGEMENT.pdf
1. 3/14/2024 Š R R INSTITUTIONS , BANGALORE 1
SUBJECT â MEDICALAND SURGICAL NURSING
TOPIC â LARYNGITIS
PREPARED BY DOLISHA WARBI
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LARYNGITIS
It is the inflammation of larynx leading to laryngeal oedema of laryngeal mucosa and underlying
structure.
OR
An inflammatory process in the mucosa of the vocal chords and larynx.
TYPES
a) Acute laryngitis
b) Chronic laryngitis
a) Acute laryngitis: It is the acute inflammation of larynx which last less than a few days and leads to
oedema of laryngeal mucosa and underlying structure.
Most common cause is ârhino virusâ others by adenovirus,measels and mumps para influenza virus.
BACTERIAL INFECTION such as diptheria .
Overuse of voice e.g. yelling , exposure to noxious that causes cold.
3. b) Chronic laryngitis : laryngitis that last more than 3 weeks is known as chronic laryngitis.
It is more persistent disorder that produces hoarseness and other voice changes.
It is painless and no signs of infection.
CAUSES
⢠Vocal misuse
⢠Exposure to noxious agent
⢠Infectious agent â Viral and Bacterial
⢠Inhaled irritants â Chemical fumes, allergens or smoking
⢠Acid reflux (GERD)
⢠Smoking
⢠Excessive alcohol use
⢠Chronic bronchitis
⢠Cancer
⢠Injury tumor
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4. SYMPTOMS:
⢠Hoarseness
⢠A low raspy voice, voice loss
⢠Tickling sensation and rawness in throat
⢠âbreaks or cracksâ voice
⢠Sensation of lumps in the throat , sore throat
⢠Difficulty in swallowing
⢠Cold or flu like symptoms
⢠Fever
⢠Swollen lymph nodes in the neck
⢠A constant urge to clear the throat
⢠Heavy mucus in throat
⢠Chronic cough
⢠Dysphagia
⢠Difficulty in breathing
⢠Feeling of fullness in throat
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5. DIAGNOSIS:
⢠History collection, physical education
⢠X-ray of neck or chest
⢠CBC ( complete blood count)
⢠Laryngoscopy
⢠Biopsy
MANAGEMENT:
⢠Resting the voice
⢠Eliminating smoking and avoiding drinking alcohol
⢠Antibiotics
⢠In severe cases steroids â Methylprednisolone
⢠Mucolytic agents ( mobilize mucus)
⢠Menthol inhalation ( humidifies)
⢠Voice Rehabilitation
⢠Increase intake of fluids
⢠Short course of steroids e.g. Prednisone, Dexamethosone
⢠H2 blockers â Zantac (4-6 weeks)
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7. NURSING MANAGEMENTS:
ĂConduct a thorough assessment of the patient's medical history, including any recent upper
respiratory infections or exposure to irritants.
ĂEvaluate the severity of symptoms, including the degree of hoarseness, difficulty in breathing,
and any associated pain.
ĂEducate the patient about the nature of laryngitis, its causes, and the importance of vocal rest.
ĂInstruct the patient to avoid irritants such as smoke, strong odors, and excessive talking or
whispering.
ĂEncourage hydration to keep the vocal cords moist.
ĂAdvise the patient to limit or avoid talking, whispering, or shouting.
ĂEncourage the patient to drink plenty of fluids to maintain hydration and keep the mucous
membranes moist.
ĂWarm saline gargles or throat lozenges may provide relief and help soothe the irritated throat.
ĂHumidification to prevent further irritation.
ĂAdminister over-the-counter pain relievers, such as acetaminophen or nonsteroidal anti-
inflammatory drugs (NSAIDs), as a pain reliever.
ĂMonitor the respiratory pattern of the patient.
ĂSpeech Therapy
ĂPrevention of Complications
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