Case 1 of 8Head and NeckEpistaxis
A 68-year-old man presents to the emergency department with a nosebleed that started 40 minutes ago. He sat upright and pinched the soft part of his nose continuously for 15 minutes at home without success. He has atrial fibrillation treated with warfarin and hypertension treated with amlodipine, and he has no known allergies. On anterior rhinoscopy, clots are cleared by suction, no discrete bleeding site is seen, and brisk bleeding continues. He is alert and well perfused.
| Heart rate | 88/min |
| Respiratory rate | 16/min |
| Temperature | 36.8 °C |
| O2 saturation | 98%, room air |
| Blood pressure | 162/94 mm Hg |
Question 1 of 29
Which of the following are the most appropriate next steps in management?
Select 2. (0 / 2 selected)
100%
ATranexamic acid IV
BSilver nitrate cautery
CPosterior balloon tamponade
DFresh frozen plasma IV
ENon-resorbable anterior nasal packing
FProthrombin complex concentrate IV
GResorbable anterior nasal packing
HOxymetazoline topically
IVitamin K IV
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