Term
|
Definition
- Vocal cord polyps
- Singer's nodules- few mm, on true cords |
|
|
Term
| A larynx tumor may be a __ __, which is a benign neoplasm on the __ cords. They are __, __, __ __ projections supported by a __ core. They are caused by __ __ and__. |
|
Definition
- squamous papilloma
- benign
- true vocal cords
- multiple, slender, finger like projections
- fibrovascular core
- HPV 6 and 11 |
|
|
Term
|
Definition
- cautery
- chemical: AgNo3 stick
- heat: exothermic packing, electrocautery, laser
- packing: anterior, posterior, both |
|
|
Term
If nose pinching does not stop the bleeding,
apply a topical ____. Choices
include ___, ____,
____, ___, ___, or ___
0.05% (Afrin). |
|
Definition
- vasoconstrictor
- cocaine
- ephedrine
- aqueous epinephrine
- phenylephrine
- Neo-Synephrine
- Oxymetazoline (Afrin) |
|
|
Term
| number one cause of nose bleeds: |
|
Definition
|
|
Term
| The __ aspect of the nose is the most common site of nose bleeds, which is termed __ __. Causes are minor manual trauma, dry mucosa, nasal trauma, or an aquired or genetic coagulopathy. |
|
Definition
- anterior
- Kiesselbach's plexus |
|
|
Term
| A posterior nose bleed is __ _ and __ __, requiring emergency evaluation and treatment. It is usually ___. The bleeding may compromise the __ and a __ _ must be placed. The patient is at risk for __ __ __ secondary to retaining pack. Refer to ENT> |
|
Definition
- less common and more significant
- arterial
- posterior pack
- Toxic Shock Syndrome |
|
|
Term
Treatment Begin with the patient sitting or standing upright and apply firm pressure to the nares for 10-15 minutes,
Then identify the bleeding site.
Visualization is aided by using a light source and a nasal speculum.
If a bleeding site can be identified, cautery with a silver nitrate stick is preferred.
Five percent cocaine spray may be used.
Recauterize with packing if necessary.
The packing is left in place for 24 hours. The patient should be told to return if bleeding begins.
The patient should be told to return if bleeding resumes. |
|
Definition
|
|
Term
What do you do?
Calm the patient.
Maintain the airway.
Identify the site.
Treatment; |
|
Definition
|
|
Term
People die from nose bleeds;
Blood Loss?
Older patients (usually but not exclusively);
HYPOXIA, HYPERCARBIA
Bilateral packing
Posterior packing
THEREFORE HOSPITALIZE
Rebleed
Septal hematoma
Septal perforation
Toxic shock syndrome |
|
Definition
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