Epistaxis

causes of Epistaxis:

• 1)idopathic
• 2)sinositis
• 3)rhinitis
• 4)truma
• 5)Foreigh body
• 6)HTN
• 7)Leukemia

Clinical Features:

• BLOOD FROM NOSE 

INVESTIGATIONS:

• 1)Couagulation  Profile(
• BT
• CT
• PT
• APTT
• 2)CBC
• 3)Upper GI Endoscopy

Rx:

• Diet: Normal
  

If H/O Trauma:

• Pressure over(10 min) the Ala of nose/ Ice over the Ala of nose.

Active bleeing :

If Not Controlled bleeding 

⬇️

Exam under G/A

Bleeding point ➡️if found (electrocauterization)

⬇️If not found bleeding point 

ANS Pack 

⬇️If not stop bleeding

PNS pack 

⬇️If not stop bleeding 

Arterial ligations 

⬇️if not stop bleeding 

ECA 

 1. Inj. Xamic (TRANEXAMIC ACID)(500mg)

• 2amp IV stat & sos

2. Cap. Amoxic(Amoxicillin)(500mg)

• 1+1+1...........7 days

3. Rynex 0.1% Nasal drop(oxymetazoline)

• 3 drops each nose 3 times daily.........7 days

4.Tab. Rivo(Clonazepam) (0.5mg)

• 0+0+1........15 days
  

❤❤. ব্যর্থতাকে ভয় করার বদলে চেষ্টা না করে বসে থাকাকে ভয় করো ।❤❤

Discharge from hospital/ Chamber :

1.Cap.Amoxic(AMOXICIILIN)(500mg)

• 1+1+1…… 7days
  

2. Antazol (Xylometazoline )0.1% nasal drop /Rynex nasal drop(oxymetazolin)

• 2 drop each nostril * TDS….10 days

3. Tab.Rivo(0.5mg)(clonazepam)

• 0+0+1……...15 days
  

4.Cap.Xamic(500mg)

• 1+1+1…..3 days(if bleeding)
  

5.Tab.Fixocard(5/50mg)

• 0+0+1….continue(if HTN)