Instillation Flashcards
Administration of the medication to the eye
Ophthalmic Instillation
Assess patient’s ability to cooperate during administration, since medications are instilled into the lower conjunctival sac.
Assessment
To provide direct route for local effect
Objectives
Equipment
Medication card
Eye drops/eye ointment
Cotton balls/tissue
Applicator stick (prn)
Clean gloves
Check medication’s expiry date
Assessment
Assess condition of the eye and
surrounding areas
Assessment
To decrease intra-ocular pressure
Objectives
To provide means for eye evaluation
Objectives
To obtain desired therapeutic effect
Objectives
Check the MAR for the drug name, dosage and strength. Also confirm the prescribed frequency of the
instillation and which eye is to be treated
Procedure
Gather and assemble the equipment
Procedure
Compare the label on the medication tube or bottle with the medication record, and check the expiration date
Procedure
• Explain the procedure and how he can cooperate.
• Wash hands and observe appropriate infection control
procedures
Procedure
➢ Put on gloves
➢ Use sterile cotton balls moistened with sterile irrigating solution or sterile normal saline and wipe from the inner canthus to the outer canthus
Procedure
Check ophthalmic preparation for the name, strength and
the number of drops, if a liquid is to be used
Procedure
If ointment is used, discard the first bead
Procedure
Instruct the patient to look up to the ceiling; give the patient a dry, sterile, absorbent sponge/tissue paper
Procedure
Hold the medication in the dominant hand, place your
hand on patient’s forehead to stabilize your hand
Procedure
Instill the correct number of drops onto the outer third of lower conjunctival sac. Hold the dropper 1-2 CM above the sac*
Procedure
Instruct the patient to close
eyelids but not to squeeze them
shut for 1-2 min (liq) or 2-3 min
(ointment) following application*
Procedure
For liquid medications, press
firmly or have the patient press
firmly on the nasolacrimal duct
for at least 30 seconds
Procedure
Check the MAR; check the label on the medication carefully against the medication card or the MAR to ensure accuracy
Nasal Instillation
Prepare patient by positioning him or her on SITTING POSITION with his /her HEAD TILTED BACK , if he/she is
lying down, tilt his/her head back with pillow
Nasal Instillation
Hold up the tip of the nose and place the dropper just inside the nares, about 1/3 of an inch
Nasal Instillation
