nurse's notes

SINUSITIS

SINUSITIS-is the inflammation of the mucous membrane of paranasal sinuses
due to viral upper respiratory infection

ACUTE SINUSITIS:
Signs and Symptoms:

• Pain:

1. frontal sinusitis-patient complain of headache in the frontal area
2. ethmoidal sinusitis-patient complain of pain near about the eyes
3. maxillary sinusitis- patient complain of pain is lateral to nose and sometimes accompanied by toothache in the upper corner side.
4. sphenoidal sinusitis- headache in the occipital area

• nasal congestion or discharging- may or may not be present
• patient feels generally miserable quite apart from pain
• fever is present if acute supurative infection

NURSING MEASURES:

• psychological support to a patient in pain
• bed rest
• keep patient comfortably as much as possible to alleviate mssirable feelings
• warm compress.
• proper disposal of tissues or anything used for the discharges

CHRONIC SINUSITIS- usually manifest by the following:

• persistent nasal obstruction due to the discharge and edema of the nasal mucous membrane
• cough produced by constant dripping of discharge back to the naso pharynx
• feeling facial fullness due to presence of nasal discharge
• headache