Question

Which is the correct order for steps of assessment of the patient with severe epistaxis?

1) Apply direct pressure to the nose
2) Administer vasoconstrictor medication
3) Insert nasal packing
4) Evaluate for underlying causes
5) Refer to an otolaryngologist

Answer 1

The correct steps for assessing a patient with severe epistaxis involve applying direct pressure, evaluating for underlying causes, administering vasoconstrictors if needed, using nasal packing, and referral to an otolaryngologist for persistent or complex cases.

Step-by-step explanation:

The correct order for steps of assessment of a patient with severe epistaxis typically includes the following actions, although medical protocol may vary slightly depending on the situation:

1. Apply direct pressure to the nose.
2. Evaluate for underlying causes.
3. Administer vasoconstrictor medication, if necessary, and after initial assessment.
4. Insert nasal packing if bleeding does not stop with direct pressure and medical management.
5. Refer to an otolaryngologist if the situation does not resolve or for further management.

It is important to first manage the acute bleeding with direct pressure and then proceed to investigate the cause and more advanced treatments as needed.