Post-operative Care for Tonsillectomy Patients

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17 Questions

What is the recommended position for extubating a patient after adenotonsillectomy?

Head-down (tonsil position)

Which analgesic is initially recommended for post-operative pain management after adenotonsillectomy?

IV morphine

Why is it cautioned to avoid blind pharyngeal suction with a rigid sucker after adenotonsillectomy?

To prevent bleeding from the tonsil bed

What is a potential complication that may arise due to continual swallowing in recovery after adenotonsillectomy?

Bleeding from the tonsil/adenoid bed

What problem may arise post-adenotonsillectomy due to hypovolemia and blood loss?

Risk of aspiration

What should be the initial management of postoperative bleeding following adenotonsillectomy?

Apply pressure to the bleeding site

Which analgesic agents are typically used for analgesia after adenotonsillectomy?

Morphine and NSAIDs

What is a common complication of tonsillectomy recovery care?

Postoperative bleeding

During adenotonsillectomy, what resuscitation option is recommended in case of bleeding?

Secure reliable IV access

What should be avoided during intubation for adenotonsillectomy to prevent obscuring the surgical field?

Placing a pack in the mouth

What is the recommended approach for managing postoperative nausea and vomiting after adenotonsillectomy?

Administer ondansetron IV

What is the recommended method to manage bleeding after adenotonsillectomy if it cannot be controlled?

Use a wide-bore gastric tube

What is the purpose of administering midazolam and morphine to a patient post-adenotonsillectomy?

To manage discomfort

In which patient population is post-operative pain usually more painful after adenotonsillectomy?

Adults

What technique is commonly used in adults during IPPV for adenotonsillectomy?

Administering Mivacurium

What is the recommended option to avoid suppository use preoperatively in children undergoing tonsillectomy?

Administering NSAID orally

In what scenario is drainage of peritonsillar abscess (quinsy) typically performed?

When airway swelling necessitates it

Learn about the post-operative care procedures recommended for tonsillectomy patients, including careful suctioning and extubation techniques. Topics include airway management, pain management, and monitoring for bleeding.

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