Medical Surgical/ Med Sure Gnrs 555 Case Study Upper Resp

Medical Surgical/ med Sure GNRS 555 Case Study Upper Resp Mr. Davidson is a 24-year old boxer. He had a boxing game and received with a nose injury. Due to heavy nosebleed, he was transferred to ER. Health Assessment and Physical Exam: Diagnostic Test: Deviated septum is observed. X-ray is done to confirm the diagnosis. Patient is alert and oriented. He didn't lose his consciousness. The patient reports severe nose pain. No other symptoms. Nursing Care: What should be your highest priority when you plan the care of this patient? o Vent airway, BCs Which position should you assist the patient to and why? o Up right position, head slightly forward How do you differentiate between anterior nasal bleeding and posterior nasal bleeding? o Posterior: secondary to hypertension, older people, coughing, more dangerous, back of throat o Anterior: stops spontaneously, not life threatening, able to see What are some of the nursing interventions that can help control the bleeding of this patient? Provide rationale. o High fowlers, pinch nose, head tilt forward, acetaminophen, nasal sponges, nasal packing, medication for pain, Tylenol (no NSAIDS) What is the appropriate way to apply pressure to stop the epistaxis? How and for how long?