Assessment:
1. Pain
- Maxillary: cheek, upper teeth
- Frontal: above eyebrows
- Ethmoid: in and around the eyes
- Sphenoid: behind eye, occiput, top of the head
2. General Malaise
3. Stuffy nose
4. Headache
5. Post-Nasal drip
6. Persistence cough
7. Fever
Nursing Interventions:
- Rest
- Increase fluid intake
- Hot wet packs.
- Codeine, avoid Aspirin. It increases the risk in developing nasal polyps.
- Amoxicillin or other anti-infectives (Acute 7-10 days; Chronic 21days).
- Nasal decongestant e.g. Sudafed, Dimetapp (use for 72 hrs).
- Irrigation of maxillary sinuses with warm NSS.
Surgery:
1. Functional Endoscopic Sinus Surgery.
2. Caldwell-Luc Surgery (Radical Antrum Surgery)
- Do not chew on affected side.
- Caution with oral hygiene to prevent trauma of incision.
- Do not wear dentures for 10 days.
- Do not blow nose for 2 weeks after removal of packing.
- Avoid sneezing for 2 weeks after surgery.
3. Ethmoidectomy
4. Sphenoidotomy/ Ethmoidotomy
5. Osteoplastic Flat Surgery for sinusitis.
