b'Chapter hapterBleeding From the NoseHow to ManageSit the patient up with their headleaning slightly forward. This helps avoid blood flowing down the throat. Apply equal pressure to both sides of the soft part of the nose for at least 10 minutes. Encourage the patient to spit out any blood rather than swallow because this could cause stomach irritation and vomiting. Apply equal pressure to both sides over the soft part of the nose (below the bony bridgeusually between the thumb and index finger). On a hot day or after exercise, it may be necessary to maintain pressure for at least 20 minutes.Apply cool wet towels or ice wrappedin a cloth around the neck and over the forehead.Loosen any tight or restrictive clothing. Closely monitor, rest and reassure thepatient.Should bleeding continue longer than20 minutes, see medical assistance.Do not let the patient lean their head back because blood will tend to run down the back of the throat and cause vomiting.Young children may be anxious and worried by a blood nose. They need lots of reassurance.Ask the child not to swallow, cough or sniff because this may disturb the blood clots that haveformed in the nose.The pressure may be released after 10 minutes. If bleeding continues, re-apply further pressurefor another 10 minutes. Bleeding may take longer to stop if it is a very hot day or if the child has been active beforehand.Once bleeding has stopped, clean around the childs nose with warm water. Ask the child toquietly rest for a few hours and not to blow their nose as this may disturb the blood clots.Bleeding 79'