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Showing posts with label Nursing Diagnosis Epistaxis. Show all posts
Showing posts with label Nursing Diagnosis Epistaxis. Show all posts

What is Epistaxis?Nursing Diagnosis and intervention

Register Nurse | 06:53 | 0 comments
Epistaxis is defined as acute hemorrhage from the nostril, nasal cavity, or nasopharynx. Patients with epistaxis commonly present with an elevated blood pressure. Epistaxis is more common in hypertensive patients Epistaxis is more prevalent in dry climates and during cold weather due to the dehumidification of the nasal mucosa by home heating systems.

Nursing Diagnosis for Epistaxis
  • Risk for Bleeding
  • Ineffective airway clearance
Nursing Intervention for Epistaxis
  • Assess the sound or the depth of breathing and chest movement.
  • Note the ability to remove mucous / coughing effectively
  • Monitor the patient's general condition
  • Monitor vital signs
  • Monitor the amount of bleeding patients
  • Give Fowler's or semi-Fowler position.
  • Clean secretions from the mouth and trachea
  • Maintain a fluid inclusion at least as much as 250 ml / day unless contraindicated.
  • Give medication as prescribed
  • Emotional Support Patient and his family

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