Nasal Fracture
Causes
Blows to the face
Causes name 5
Trauma
Hypertension
Low Humidity
Upper respiratory infection
Allergies
Sinusitis
Foreign bodies
Chemical irritants (street drugs)
Overuse of decongestant nasal sprays
Facial or nasal surgery
Anatomic malformation
Tumors
Any condition that prolongs bleeding time (anticoagulants, aspirin, NSADs)
Clinical manifestations (name 3)
Sneezing; watery, itchy eyes and nose; altered sense of smell
who is considered high-risk and needs to bee vaccinated?
Health care workers
Those over 50
Those with chronic illness
What do we do if someone dislodges their trach tube.
Call for help
Complications name 3
Epistaxis
Fracture
CFS leakage
Drugs to Avoid
Aspirin-containing products or NSAID
How is Allergic Rhinitis Classified
Classified according to causative agent: “seasonal” and “perennial” Or the frequency of symptoms episodic, intermittent, or persistent
clinical manifestations name at least 3
Cough
Fever
Sore throat
how long should we suction for?
no more than 10 seconds
How long do we leave ice on face
10-20 minutes
types of Packing that is used
Packing with traditional Vaseline ribbon gauze, a prefabricated nasal sponge (Merocel), or an epistaxis balloon (Rhino).
How to reduce symptoms of Allergic Rhinitis
Avoid house dust, pets, mold, pollen, smoke
How fast rapid will a flu test result show
15 minutes
what position should the patient be placed in to preform trach care?
semi fowlers
Raccoon eyes is referring to?
Ecchymosis under the eyes
what is silver nitrate used for
used to Cauterize
What is a good state for patients to live if they have allergic Rhinitis?
Arizona!
Most common complications of Flu
Pneumonia
what should be documented after trach care is performed name 3
o2 sat
color of sputum
how pt tolerated
how many passes were made
Completed in a sterile fashion
A patient has been involved in an MVA, resulting in a blow to the face. The patient has clear drainage coming from the nostrils what do you expect to be ordered?
Do Glucose test to confirm CSF
If packing is placed what should the nurse monitor?
Closely monitor respiratory rate, heart rate and rhythm, oxygen saturation using pulse ox, and level of consciousness & observe for signs of aspiration.
When giving PSEUDOEPHEDRINE (Sudafed) what do we watch out for?
Tachycardia and palpitations
Starting at 6 months
If a patient that has a trach placed recently, asks for water can we give it to them?
No!