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학습 자료 둘러보기 →The highest priority after a tonsillectomy is monitoring for occult hemorrhage. Blood is often swallowed, hiding the true volume of loss. The earliest and most classic sign is frequent swallowing.
Assess for other subtle indicators of hypovolemia, including restlessness (an early sign of shock in children), tachycardia, and delayed hypotension. Vomiting bright red or dark brown blood (coffee-ground emesis) confirms active bleeding.
Never encourage coughing or deep breathing post-operatively, as this can dislodge clots and precipitate hemorrhage. Do not let pain management or comfort measures delay the assessment for this life-threatening complication.
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