Consider checking hemoglobin to ensure no significant blood loss anemia
Discharge after 1 hour of observation
Patients on Warfarin with therapeutic INR may continue medication
Discontinue NSAIDs for 3-4 days
Possible amoxicillin-clavulanate if anterior packing was placed as prophylaxis for bacterial sinus infection or Toxic shock syndrome although no robust evidence base
ENT or ED follow-up in 2-3d for removal of nonbiodegradable packing
Admit if bilateral packing, symptomatic anemia, or anemia requiring transfusion
Admission to telemetry is strongly advised
Posterior packing causes vagal stimulation, increasing risk of dysrhythmia and bronchoconstriction
Epistaxis
Facial trauma
Syncope 
Coagulopathy
Syncope
Nasal tumor
Anaphylaxis
Juvenile Nasopharyngeal Angiofibroma 