Nosebleed, WWYD?

Published

I had a student (14 years old) just leave my office. He got on the bus with a nosebleed and was waiting in my office when I arrived with administration saying he was feeling lightheaded. VS all stable (130/78, HR 85, resp 12, O2 98%) but says he feels dizzy and tired. I had him lie down for 20 minutes and he drank 1/2 the water I gave him.

I strongly feel that he is exaggerating his symptoms. I called home (with him in earshot) to let parents know and cover my bases. So he heard me let them know that all VS are good to go, ect, ect.

How would you handle this situation? And if he returned in an hour?

Specializes in Pediatrics Retired.
I think twozer was kidding.

Ya think???:sarcastic:

Up Vote Up Vote ×
Ya think???:sarcastic:

I was TRYING to be NICE!!!

Up Vote Up Vote ×

Very nice and indeed restrained.:up:

Up Vote Up Vote ×
Nope, that's not what we do as a SN. We call the mom and see if she feels he needs to be taken to the doc for frequent, copious nosebleeds.

Unless he's hemorrhaging, his iron and CBC will likely not be a factor from an isolated nosebleed. Unless he has ITP and got punched in the face.

If he was truly faint, it was more likely other factors, like skipping breakfast, or the sight of the blood itself.

I was going to respond, but you did it perfectly, Far. Thanks!

Up Vote Up Vote ×
+ Join the Discussion