For recurrent epistaxis, advise the patient to buy saline mist and store it in the refrigerator. Use the cold mist daily and during any acute episode of bleeding. The saline solution provides moisture, and the cold temperature promotes vasoconstriction.

Chemotherapy patients who experience epistaxis with treatment should bring the saline mist packed in ice to the infusion treatment and use two to three sprays every hour to provide vasoconstrive effects. — Michele Corrice, APN-C, Mt. Arlington, N.J. (184-6)

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