II. Indications

  1. Control of bleeding from small wounds on skin or mucosa (e.g. Colposcopy biopsy)

III. Background

  1. One of the oldest Hemostatic Agents (described by Monsel in the 1850s)

IV. Mechanism

  1. Topical Hemostatic Agent
  2. Denatures and coagulates proteins to form a membrane over small blood vessels

V. Technique

  1. Clean bleeding site and apply local pressure
  2. Insert cotton swab into Monsel's solution and stir to mix
  3. Apply cotton swab to bleeding site

VI. Adverse Effects

  1. May cause discoloration of tissue to which it has been applied

VII. References

  1. Berry in Schrage (2013) Topical Hemostatic Agents, Medscape Emedicine
  2. Peralta in Sanfrey (2013) Overview of Topical Hemostatic Agents and tissues adhesives used in the operating room, UpToDate, Wolters-Kluwer
  3. Achneck (2010) Ann Surg 251(2):217-28 [PubMed]

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Ontology: ferric subsulfate solution (C0060245)

Concepts Pharmacologic Substance (T121) , Inorganic Chemical (T197)
MSH C028968
SnomedCT 5477001
English ferric subsulfate, ferric subsulfate solution, FERRIC SUBSULFATE MISC. SOLUTION, NON-ORAL, FERRIC SUBSULFATE @ @ SOLUTION, NON-ORAL, FERRIC SUBSULFATE @ @ UNIDENTIFIED, FERRIC SUBSULFATE SOLUTION, NON-ORAL, FERRIC SUBSULFATE UNIDENTIFIED, ferric subsulfate (medication), hematinics ferric subsulfate, ferric subsulfate solution [Chemical/Ingredient], FERRIC SUBSULFATE, ferric subsulphate, monsel's solution, Ferric Subsulfate Solution, Monsel's solution, Ferric subsulfate, Ferric subsulfate (substance), Ferric subsulphate, Ferric Subsulfate, Ferric Subsulfate Solution (obsolete)
Spanish solución de Monsel, subsulfato férrico (sustancia), subsulfato férrico