Post-operative Care for Tonsillectomy Patients
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Questions and Answers

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

  • Supine position
  • Head-down (tonsil position) (correct)
  • Right lateral position
  • Prone position

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

  • IV morphine (correct)
  • NSAIDs
  • Oral paracetamol
  • Dexmedetomidine

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

  • To avoid postoperative nausea and vomiting
  • To improve vocal cord function
  • To prevent bleeding from the tonsil bed (correct)
  • To prevent infection

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

<p>Bleeding from the tonsil/adenoid bed (B)</p> Signup and view all the answers

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

<p>Risk of aspiration (C)</p> Signup and view all the answers

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

<p>Apply pressure to the bleeding site (C)</p> Signup and view all the answers

Which analgesic agents are typically used for analgesia after adenotonsillectomy?

<p>Morphine and NSAIDs (B)</p> Signup and view all the answers

What is a common complication of tonsillectomy recovery care?

<p>Postoperative bleeding (B)</p> Signup and view all the answers

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

<p>Secure reliable IV access (D)</p> Signup and view all the answers

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

<p>Placing a pack in the mouth (B)</p> Signup and view all the answers

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

<p>Administer ondansetron IV (C)</p> Signup and view all the answers

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

<p>Use a wide-bore gastric tube (B)</p> Signup and view all the answers

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

<p>To manage discomfort (C)</p> Signup and view all the answers

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

<p>Adults (B)</p> Signup and view all the answers

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

<p>Administering Mivacurium (C)</p> Signup and view all the answers

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

<p>Administering NSAID orally (D)</p> Signup and view all the answers

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

<p>When airway swelling necessitates it (D)</p> Signup and view all the answers

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