Ophthalmic/ nasal Flashcards
Topical
must be done by licensed personal
Preadmin assess
- Self admin: poor vision, hand tremors, difficulty grasping
- Intruct
- avoid anything directly into cornea
- avoid touching any part
- do not share
Positioning
supine or sit back in chair with head slightly hyper extended
gently wash the drainage or crusts if present
Steps in administer ophalmic
- W/ non dominant hand have cotton ball below lower eyelid
- genlty press downward wit thumb against bony orbit
- ask patient to look up
- 1-2 cm from conjunctival sac
- if they blink or it lands in margins, redo procedure
- for systemic effects: gently pressure with fingers & lean tissue on nasolacrimal duct for 30-6os
Putting an eye ointment in
- ask to look at ceiling
- hold applicator above lowe lid marlin & thick stream of ointment along lower edge from inner to outer
- remove excess by wiping
- apply eyepatch gently
Cautions for nasal sprays
- avoid overuse will worse gongestion
- excess decongestants can cause systemic affections * especially children so saline is safer)
administer nasal drops
- clear nose
- supine posiition,
- head to facilitate nasal passage
- support head with non dominant hand b/c straining
- instruct to breath through mouth
- hold dropper 1cm above the nares
- REMAIN SUPINE 5 minutes
- DONT BLOW NOSE FOR SERVERAL MINS
Administering nasal spay
- sitting or high fowlers
- patients head = upright
- offer to blot nose but don’t blow
To access ethmoid or sphenoid sinus
tilt head back & over edge of bed
for frontal & maxillae sinus
tilt head back & over bed with the side that needs to be treated
When should you observe for systemic reactions
15-30mins
Ear installations
NEED TO BE AT ROOM TEMP BC VERTIGO OR NAUSEA
although ear isn’t sterile
u use sterile fluid in case it bursts
For children ear installation
GENTLY GRASP & PULL BACK/DOWN
for older adult ear
back & up
