Station 2

Look at the images below and answer the questions that follow. 

A

B

C

D

E

F

G

H

I

J

K

Which two items are used directly to perform nasal cautery? (2 marks)

 

B and J

List 5 none-surgical management options for epistaxis. (5 marks)

 

    1. First aid measures – pinching nose, sitting forward, ice on neck,mouth or forhead. 

    2. Nasal packing (anterior) can be using any type – merocel, rapid rhino, nasopore

    3. Nasal packing (posterior) – rapid rhino or foley catheter

    4. Floseal, equitamp, surgicell

    5. Tranexamic acid

    6. Interventional radiologiy – embolisation

    7. Chemical cautery

    8. Bipolar cautery 

If you take a patient to theatre what are the surgical procedures that may be required to stop bleeding? (3 marks)
Any 3 of:

    1. Bipolar cautery

    2. SPA ligation

    3. anterior ethmoidal artery ligation

    4. External carotid ligation

    5. Septoplasty

 

To prepare the nose prior to surgical management of epistaxis which of the items above may be required (3 marks)

Any 3 of: G, I, K

What may be delivered using D? (1 marks)

Lignospan local anaesthetic

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