Nursing Care Plan for Epistaxis

Sunday, December 18, 2011

Definition

Epistaxis is bleeding from the bottom of the nose can be primary or secondary, spontaneous or due to stimulation and is located next to the posterior or anterior.

Care Management

Blood flow will stop after the blood had frozen in the process of blood clotting. A medical opinion says that when the bleeding occurs, it is better if the head is tilted forward position (sitting position) to drain the blood and prevent entry into the esophagus and stomach.

First aid in case of epistaxis is to squeeze the front of your nose for three minutes. During the emphasis should breathe through the mouth. Mild bleeding will usually stop in this way. Do the same thing in case of recurrent bleeding, if it does not stop you should visit a doctor for help.

For chronic nose bleeds due to dryness of the nasal mucosa, is usually prevented by spraying saline in the nose up to three times a day.

If due to pressure, ice packs can be used to shrink blood vessels (vasoconstriction). If it still does not work, can be used nasal tampons. Tampons can stop a bleeding nose and the media is mounted 1-3 days.

Deaths from bleeding nose is something that is rare. However, if it caused damage to the maxillary artery can cause heavy bleeding through the nose and difficult to cure. Action of pressure, vasoconstrictor less effective. Possible healing maksillaris arterial structure (which can damage the facial nerve) is the only solution.