Instillation

Question 1

Administration of the medication to the eye

Answer 1

Ophthalmic Instillation

Question 2

Assess patient’s ability to cooperate during administration, since medications are instilled into the lower conjunctival sac.

Answer 2

Assessment

Question 3

To provide direct route for local effect

Answer 3

Objectives

Question 4

Equipment

Answer 4

 Medication card
 Eye drops/eye ointment
 Cotton balls/tissue
 Applicator stick (prn)
 Clean gloves

Question 5

Check medication’s expiry date

Answer 5

Assessment

Question 6

Assess condition of the eye and
surrounding areas

Answer 6

Assessment

Question 7

To decrease intra-ocular pressure

Answer 7

Objectives

Question 8

To provide means for eye evaluation

Answer 8

Objectives

Question 9

To obtain desired therapeutic effect

Answer 9

Objectives

Question 10

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

Answer 10

Procedure

Question 11

Gather and assemble the equipment

Answer 11

Procedure

Question 12

Compare the label on the medication tube or bottle with the medication record, and check the expiration date

Answer 12

Procedure

Question 13

• Explain the procedure and how he can cooperate.
• Wash hands and observe appropriate infection control
procedures

Answer 13

Procedure

Question 14

➢ 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

Answer 14

Procedure

Question 15

Check ophthalmic preparation for the name, strength and
the number of drops, if a liquid is to be used

Answer 15

Procedure

Question 16

If ointment is used, discard the first bead

Answer 16

Procedure

Question 17

Instruct the patient to look up to the ceiling; give the patient a dry, sterile, absorbent sponge/tissue paper

Answer 17

Procedure

Question 18

Hold the medication in the dominant hand, place your
hand on patient’s forehead to stabilize your hand

Answer 18

Procedure

Question 19

Instill the correct number of drops onto the outer third of lower conjunctival sac. Hold the dropper 1-2 CM above the sac*

Answer 19

Procedure

Question 20

Instruct the patient to close
eyelids but not to squeeze them
shut for 1-2 min (liq) or 2-3 min
(ointment) following application*

Answer 20

Procedure

Question 21

For liquid medications, press
firmly or have the patient press
firmly on the nasolacrimal duct
for at least 30 seconds

Answer 21

Procedure

Question 22

Check the MAR; check the label on the medication carefully against the medication card or the MAR to ensure accuracy

Answer 22

Nasal Instillation

Question 23

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

Answer 23

Nasal Instillation

Question 24

Hold up the tip of the nose and place the dropper just inside the nares, about 1/3 of an inch

Answer 24

Nasal Instillation

Question 25

Remain in position with his head few (5) minutes to prevent escape of the
solution

Answer 25

Nasal Instillation

Question 26

Administration of the medication into the ear

Answer 26

Otic Instillation

Question 27

+ Assess patient’s ability to cooperate with instillation
+ Assess patient’s ability to be positioned on side

Answer 27

Otic Instillation

Question 28

Equipment

Answer 28

 Medication card
 Dropper for instilling medication
 Cotton wick
 Medication
 Clean gloves & flashlight (prn)

Question 29

Use cotton-tipped applicators and solution to wipe the pinna and auditory meautus

Answer 29

Otic Instillation

Question 30

Ask the patient to remain in the side-lying position for about
5 minutes (15 mins)

Answer 30

Otic Instillation

Question 31

Insert a small piece of cotton fluff loosely at the meatus of the auditory canal for 15-20 minutes. Do not press it into the canal

Answer 31

Otic Instillation

Question 32

Down and Back

Answer 32

Child

Question 33

Up and back

Answer 33

Adults