Question

PROCEDURE NAME Desal packinpol REVIEW MODULE CHAPTER Description of Procedure Indications CONSIDERATIONS Nursing Interventions (pre, intra, post) Outcomes/Evaluation Client Education Potential Complications Nursing Interventions

Answer 1

Description: Nasal packing is a treatment to control anterior and posterior epistaxis by using packing materials.

indications: anterior and posterior epistaxis

outcome:

• bleeding will be stopped
• healing will occur

potential complications:

• Rhinosinusitis
• toxic shock syndrome
• aspiration
• asphyxiation

nursing interventions to prevent complications:

• Instruct the patient to avoid exerting herself, forcefully blowing her nose, or bending over.
• She should also avoid NSAIDs, alcoholic beverages, and smoking for 5 to 7 days.
• water-soluble ointment should be applied to lips and nostrils of the patient while packing is in place and to use a cool-mist room humidifier.
• Advise patient  to prevent constipation and straining, as that increases the risk of bleeding.

nursing interventions

preoperative:

• ensure the right patient
• maintain privacy
• Assemble all the articles
• informed consent
• explain the procedure
• Ensure bedside suction is functioning properly.

intraoperative

• relieve patients anxiety by explaining every step
• Obtain vital signs and SpO2 level, and assess her breath sounds. Administer supplemental oxygen via facemask if needed. Continue to monitor vital signs closely.
• assess for hypoxia.

postoperative

• reassess the patient and provide oral care. Keep the patient's mouth moist while the packing is in place.
• place the articles at proper place
• make the patient comfortable.

Client education

• Instruct the patient to report signs and symptoms
• he should be advised to go for follow up with an ear, nose, and throat specialist as an outpatient.
• While packing is in place, Instruct the patient to avoid exerting herself, forcefully blowing her nose, or bending over.
• Patient should also avoid alcoholic beverages, and smoking for 5 to 7 days.
  Patient should apply water-soluble ointment to her lips and nostrils while packing is in place and to use a cool-mist room humidifier.
• constipation and straining should be avoided which increases the risk of bleeding.