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APPENDIX
A
INSERTION OF NASAL PACK
A. FINGER-COT TYPE
Materials:
1. Finger,cot (middle finger cut off from a size 7 1/2 surgical gloves _ 1
2. Antibiotic ointment (oxytetracycline/polymixin B) 5 g tube # 1
3. Medium-strip gauze # 1 or 2
4. Nasal speculum
5. Nasal dressing forceps or bayonet forceps
Procedure:
1. Coat liberally the outer suface of the finger-cot with the antibiotic ointment.
2. Place the cot over the speculum which is then introduced into the nose.
3. Maintain pressure between your index finger, which is resting on the ala, and the blade of the speculum to
avoid slipping of the finger-cot deep into the nasal chamber.
4. Spread out the sides of the finger-cot by probing the nasal forceps within the finger-cot.
5. Insert slowly the medium-strip gauze (dampened with sterile water) using the nasal dressing forcep until the
whole chamber is fully packed.
B. MEDIUM-STRIP GAUZE
Materials:
1. Medium-strip gauze # 1 or 2
2. Antibiotic ointment (oxytetracycline/polymixin B) 5 g # 2 or 3
3. Nasal speculum
4. Nasal dressing forceps or bayonet forceps
Procedure:
1. Lubricate liberally the medium-strip gauze with the antibiotic ointment.
2. With the speculum in place, insert the medicated strip using the nasal forceps in a pleated manner within the
nasal chamber until fully packed.
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