Quick Facts: Epistaxis

Epistaxis is the term for a nose bleed. It may be spontaneous or caused from trauma. It has also been seen in chronic or acute infection, chemical irritation, leukemias, HTN, anticoagulant therapy and other blood dyscrasias.

In children, it tends to be mild and anterior in the nasal cavity.

In adults, it tends to be more severe and posterior.

While slight to moderate Epitaxis tends to have no complications, severe Epistaxis, lasting longer than 10 minutes after pressure is applied, may cause blood loss up to 1 liter per hour.

Nursing Care:

  • Have patient sit upright
  • Compress nares against septum for 5-10 minutes
  • Avoid nose blowing or sneezing
  • If unable to control bleeding, be ready to assist MD, PA, or NP with anterior or posterior packing. WATCH AND OBSERVE FOR AIRWAY OBSTRUCTION WITH PACKING.


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Anna Curran. RN, BSN, PHN

Anna Curran. RN, BSN, PHN
Clinical Nurse Instructor

Emergency Room Registered Nurse
Critical Care Transport Nurse
Clinical Nurse Instructor for LVN and BSN students

Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams.

Her experience spans almost 30 years in nursing, starting as an LVN in 1993. She received her RN license in 1997. She has worked in Medical-Surgical, Telemetry, ICU and the ER. She found a passion in the ER and has stayed in this department for 30 years.

She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse.

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