Chapter 30
Diseases of the Nose
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30-1
Objectives
30-2
Epistaxis
30-3
Causes of Epistaxis
Traumatic Causes
•Foreign body
Medical Causes
•Dry, heated, indoor air
•Nose picking
•Dry, hot, low-humidity climates
•Facial and nasal surgery
•Allergies
•Facial trauma
•Sinusitis
•Hypertension
•Bleeding disorders
•Upper respiratory infection
•Chemical irritants
•Vitamin K deficiency
•Use of drugs that thin the blood
30-4
Assessment Findings and Symptoms
• Bleeding from the nose
• Possible vomiting
• Localized pain or tenderness may be present
30-5
Emergency Care
30-6
Anterior Nosebleed
• Bleeding vessel in
front part of nose
• Usually easy to
control
• Pinch fleshy part of
nostrils together for
15 min
30-7
Posterior Nosebleed
• Bleeding vessel in back part of nose
• Occurs most often in older adults
• Difficult to control
• Rapid transport
• Treat for shock if present
30-8
Questions?
30-9