A 50-year-old with severe anterior epistaxis is on warfarin INR 2.3. After cautery and resorbable packing and avoidance of NSAIDs. Anticoagulation man...

Question

A 50-year-old with severe anterior epistaxis is on warfarin INR 2.3. After cautery and resorbable packing and avoidance of NSAIDs. Anticoagulation management should be coordinated but not necessarily stopped. Routine systemic antibiotics are not indicated for anterior packing. Follow-up is needed.

Accepted Answer

Topical nasal emollients/saline and avoid NSAIDs; timely anticoagulant follow-up

Answer

Which discharge advice is guideline-consistent?

Answer

Immediate nasal blowing to clear clots

Answer

Stop anticoagulation permanently

Answer

No follow-up needed

AAO-HNS Guideline (2020): Nosebleed (Epistaxis) MCQ (SBA): Epistaxis

A 50-year-old with severe anterior epistaxis is on warfarin INR 2.3. After cautery and resorbable packing and avoidance of NSAIDs. Anticoagulation management should be coordinated but not necessarily stopped. Routine systemic antibiotics are not indicated for anterior packing. Follow-up is needed.