nosebleeds Flashcards
1
Q
aka
A
epistaxis
2
Q
bleeding usually originates from
A
Kiesselbach’s plexus
located in Little’s area
3
Q
Little’s area
A
area of nasal mucosa that contains a lot of blood vessels
if mucosa disrupted and blood vessels exposed they become prone to bleeding
4
Q
triggers
A
nose picking colds sinusitis vigorous nose blowing trauma weather change coagulation disorders anticoagulant medicatin snorting cocaine tumours
5
Q
bleeding from both nostrils indicated
A
bleeding posteriorly in the nose
higher risk of aspiration
6
Q
advice to patients for managing nosebleeds
A
sit up
tilt head forward
squeeze soft part nostrils for 10-15min
spit out any blood in mouth
7
Q
when to consider hospital admission
A
doesn’t stop 10-15min
severe bleeding
bilateral bleeding
haemodynamically unstable
8
Q
treatment options
A
nasal packing: tampons, inflatable packs
Nasal cautery: silver nitrate sticks
