Epistaxis Prof Mulder 2012 IT IS NEVER A

Epistaxis  Prof Mulder  2012 IT IS NEVER A

Epistaxis Prof Mulder 2012 IT IS NEVER A DISEASE IT IS ALWAYS A SYMPTOM OF PATHOLOGY !! LOCAL

Congenital etc. SYSTEMIC Rx R T T A

E H T E C U A

E S CONGENITAL INFECTIVE INFLAMMATION NEOPLASM TRAUMA ALLERGY AUTO - IMMUNE VASCULAR

ENDOCRINOLOGY METABOLIC MECHANICAL MEDICATION WALL CONTENTS Cells: (Rbc. Wbc. Platelets Immunoglobulins Electrolytes Clotting factors

Glucose Cholesterol etc.. EPISTAXIS HYPERTENSION DISPRIN, GRANDPA

HEADACHE Rx LITTLES AREA Pressure Ice pack Plug with cottonwool ( + vasoconstrictor) Cauterize

Rx POSTERIOR EPISTAXIS PACKING Gauze tape Merocel + Foleys catheter Calm the patient Explain what you are going to do IV fluids

Blood transfusion Blow the nose (+ suction) Determine which side is bleeding Pack the nose: Anterior pack (BIPP, Merocel, Gauze tape) Posterior pack (Foleys catheter) DANGERS OF NASAL PACKS No sedation!!!!!!!! Hypoxia Antibiotic cover essential

Patient to be admitted Trauma to nasal vestibule WHY (HOW) DO THESE CONDITIONS CAUSE EPISTAXIS? Arteriosclerosis Hypertension Cardiac failure Diabetes Uraemia Liver cell failure

Drugs Leucemia

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