RESUMO

A 58-year-old woman was brought to our emergency department with massive nasal bleeding and hemodynamic instability. The patient had been on clopidogrel treatment (75 mg/day) for 2 years, which was started after an episode of transitory ischemic attack. Blood pressure normalized following the administration of intravenous fluids, and the bleeding stopped after nasal tamponade and desmopressin therapy.

Assuntos

Epistaxe/induzido quimicamente , Inibidores da Agregação Plaquetária/efeitos adversos , Ticlopidina/análogos & derivados , Ticlopidina/efeitos adversos , Clopidogrel , Desamino Arginina Vasopressina/uso terapêutico , Epistaxe/tratamento farmacológico , Epistaxe/fisiopatologia , Feminino , Hemodinâmica , Hemostáticos/uso terapêutico , Humanos , Ataque Isquêmico Transitório/tratamento farmacológico , Pessoa de Meia-Idade