while doing anterior nasal packing ,the gauze is soaked in what -liquid paraffin or petroleum jelly
In cases of active anterior epistaxis, nose is cleared of blood clots by suction and an attempt is made to localize the bleeding site. In minor bleeds, from the accessible sites, cauterization of the bleeding area can be done. If Bleeding is profuse and/or the site of bleeding is difficult to localize, anterior packing should be done. For this, use a ribbon gauze soaked with liquid paraffin. About 1 m gauze for each nasal cavity. First, few centimetres of gauze are folded upon itself and inserted along the floor and then the whole nasal cavity is packed tightly by layering the gauze from floor to the roof and from before backwards. Packing can also be done in vertical layers from back to the front. One or both cavities may need to be packed. Pack can be removed after 24 h, if bleeding has stopped. Sometimes, it has to be kept for 2-3 days; in that case, systemic antibiotics should be given to prevent sinus infection and toxic shock syndrome.