We present the case of a 51-year-old moderate
hemophiliac with gingival bleeding due to papillary inflammation and adherence
in the molar area 47. After dental diagnosis a calculus was removed and 30% trichloroacetic acid was placed by a pressurized applicator for five seconds; the procedure
was repeated until the bleeding stopped, then tranexamic acid was placed by a gauze. The patient chewed
the gauze for 30 minutes and was discharged after repeating the same procedure
for 30 minutes more. We
observed how local treatment with trichloroacetic
acid combined to tranexamic acid placed on the hemorrhagic site was able
to stop the bleeding.
effective clinical practicum experience for distance learners requires systems
to be in place to ensure that all students receive a quality clinical
experience and meet course and program objectives. Key to achieving these
successful outcomes is recognizing and overcoming the challenges involved in
designing graduate practica for Master of Science in nursing candidates. A
systematic approach is presented for consideration.