administering otic instillations

7/25/2019 Administering Otic Instillations

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ADMINISTERING OTIC INSTILLATIONS

PURPOSE To soften earwax so that it can be readily removed at a later time To provide local therapy to reduce inammation, destroy infective organisms in the external ear

canal, or both To relieve pain

ASSESSMENTIn addition to the assessment performed by the nurse related to the administration of any medications, priorto applying otic medications, assess:

Appearance of the pinna of the ear and meatus for signs of redness and abrasions Type and amount of any discharge.

etermine if assessment data inuence administration of the medication !i.e., is it appropriate to administerthe medication or does the medication need to be held and the primary care provider noti"ed#$.

PLANNING

Delegationue to the need for assessment, interpretation of client status, and use of sterile techni%ue, otic medicationadministration is not delegated to &A'.

Equipment

(lient)s *A+ or computer printout (lean gloves (ottontipped applicator (orrect medication bottle with a dropper -lexible rubber tip !optional$ for the end of the dropper, which prevents inury from sudden motion,

for example, by a disoriented client (otton u/

For irrigation, a! *oistureresistant towel 0asin !e.g., emesis basin$ Irrigating solution at the appropriate temperature, about 122 m3 !45 o6$ or as ordered (ontainer for the irrigating solution 7yringe !rubber bulb or Asepto syringe is fre%uently used$

IMPLEMENTATION

Preparation4. (hec8 the *A+.

(hec8 the *A+ for the drug name,

strength, number of drops, andprescribed fre%uency.

(hec8 client allergy status. If the *A+ is unclear or pertinent

information is missing, compare it

with the most recent primary careprovider)s written order.

+eport any discrepancies to thecharge nurse or primary care

provider, as agency policydictates.

9. now the reason why the client isreceiving the medication, the drugclassi"cation, contraindications, usual

dose range, side e/ects, and nursingconsiderations for administering and

evaluating the intended outcomes ofthe medication.

Per"orman#e4. (ompare the label on the medication

container with the medication recordand chec8 the expiration date.


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9. If necessary, calculate the medication

dosage.;. . (lean the pinna of the ear and the

meatus of the ear canal. Apply gloves if infection is

suspected. &se cottontipped applicators and

solution to wipe the pinna and

auditory meatus. +ationale: Thisremoves anydischarge present

before the instillation so that it will

not bewashed into the ear canal.


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+ationale: Pressing on the tragus

assists the owof medication intothe ear canal.

As8 the client to remain in the

sidelying position for about 1minutes. +ationale: This prevents

the drops fromescapingand

allows the medication to reach allsides of thecanal cavity.

$ariation! Ear Irrigation


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B. +emove and discard gloves. 'erform hand hygiene.

42. Assess the client)s response and the

character and amount of discharge,appearance of the canal, discomfort,and so on, immediately after the

instillation and again when the

medication is expected to act. Inspectthe cotton ball for any drainage.

44. ocument all nursing assessments and

interventions relative to the procedure.Include the name of the drug or

irrigating solution, the strength, thenumber of drops if a li%uid medication,

the time, and the response of theclient.

E$ALUATION 'erform followup based on

"ndings of the e/ectiveness of theadministration or outcomes that

deviated from expected or normalfor the client. +elate "ndings to

previous data if available. +eport signi"cant deviations from

normal to the primary care

provider.INFANTS%C&ILDREN

Cbtain assistance to immobili6e aninfant or young child. This

prevents accidental inury due tosudden movement during the

procedure. 0ecause in infants and children

under ; years of age, the ear canal

is directed upward, to administermedication, gently pull the pinna

down and bac8. -or a child olderthan ; years of age, pull the pinna

upward and bac8ward.

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Name o" Stuent Signature Date

(linical InstructorA((e((or)( Name Po(ition Signature Date

administering otic instillations

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