What is included in post-procedure care following anterior nasal packing for epistaxis?

Updated: May 09, 2018
  • Author: Eric Goralnick, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

All patients treated with nasal packing should receive an antistaphylococcal antibiotic as prophylaxis against sinusitis and staphylococcal toxic shock syndrome. Patients who were cauterized only (and did not receive nasal packing) should gently apply antibiotic ointment to the cauterized area daily for 1 week and use a humidifier while sleeping.

Patients should be given a follow-up appointment for removal of the packing in 48 hours. Instruct the patient to maintain upright posture for 48 hours (including sleep hours) and to avoid laughter or heavy lifting for 24 hours. The goal is the reduction of intracranial venous blood pressure to minimize the likelihood of rebleeding.


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