If a patient is prone to have nose bleeds, first thing is PREVENTION - - Try that a proper NASAL HYDRATION of such patient is maintained using saline nasal drops, and saline gels.
Another thing that can be done as a PREVENTION is - - Increase ambient humidity of the room with a BEDROOM HUMIDIFIER. - It will help in keeping the inside of the nose moist and crust-free.
However, if still bleeding occurs in a patient... INSTRUCTION 1 - LEAN him/her A LITTLE FORWARD and tell him to spit out any blood. - The patient should breathe quietly from the MOUTH.
INSTRUCTION 2 - The nose is pinched with the THUMB and the INDEX FINGER for about 10 minutes in the same leaning forward position.
INSTRUCTION 3 - While the nose is pinched with the thumb and the index finger...COLD COMPRESSES or ICE-COLD WATER is poured directly over the BRIDGE OF THE NOSE (NOT on the head).
INSTRUCTION 4 - DO NOT LIE DOWN when trying to stop an active nosebleed. – Lying down can result in swallowing the blood which can irritate your stomach leading to vomiting.
INSTRUCTION 5 - Release your nostrils after 10 minutes and check if the bleeding has stopped. - This usually stops the nose bleeding in majority of cases.
INSTRUCTION 6 - If the bleeding still has NOT stopped .....Repeat the instructions 1 to 5 at least 2-3 times.
INSTRUCTION 7 If still the bleeding has NOT stopped.... - Lean the head back to 45 degrees and put Decongestant nasal drops eg. Xylometazoline in the nasal cavity and again pinch the nose.
IMPORTANT NOTE - Decongestant nasal drops, eg. Xylometazoline or Oxymetazoline are NOT ADVISED FOR PATIENTS who have HIGH BLOOD PRESSURE as these might further increase the blood pressure
INSTRUCTION 8 - PATIENT SHOULD URGENTLY REPORT TO A HOSPITAL IF FOLLOWING THESE INSTRUCTIONS STILL DOESN'T STOP THE BLEEDING.
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