Emergency Cases Northwest Group

060 Gargle Gargle

Situation

Post-tonsillectomy bleed patient treated with hydrogen peroxide gargles.

Background

An18 year old man presented 4 days post-tonsillectomy, with increased pain and now bleeding. Temperature 38. A large clot visible in the tonsillar fossa. Commenced Iv Abx and hydrogen peroxide gargles.

Assessment

It wasn’t a catastrophic bleed and therefore hydrogen peroxide gargles could be used as a haemostatic agent to reduce bleeding.

Recommendation

The dose for hydrogen peroxide gargles is: hydrogen peroxide 6%, 20ml of the solution diluted with water 1:6. Gargle don’t swallow.



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Emergency Cases Northwest Group