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51 describe the procedures for instilling eye and ear

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51. Describe the procedures for instilling eye and ear drops.
Ear drop administration steps:1. Hold the ear drop bottle in your hand to warm it or place it in warm water (not hot). Gentlyshake the bottle before using the drops. Warm solutions is more comfortable than cool. Placingcool solutions in the ear can cause dizziness. Gently shaking the bottle disperses the medicationthroughout the solution.2. Assist patient to a side-lying position, with the appropriate ear facing up.Facilitates administering the drops and prevents drops escaping from the ear.3. Clean the external ear with a cotton-tipped applicator, if necessary.Cleaning the ear allows ear drops to reach all areas of the ear canal without trauma. Be carefulnot to push cerumen further into the ear canal.4. Fill the dropper with the correct amount of medication.5. For infants and young children, ask a parent or another caregiver to immobilize the child whileyou administer the medication. Mobilization and restraint reduce the risk for injury for the childwho struggles during the procedure.6. Straighten the ear canal.For a child younger than 3 years old, pull the pinna down and back.For children 3 years and older and adults, pull the pinna up and back.These positions straighten the ear canal for proper channeling of the medication.7. Instill the ordered number of drops along the side of the ear canal, being careful not to touchthe end of the dropper to any part of the ear. This reduces the risk of contaminating the dropper.8. Gently tug on the external ear after drops are instilled. This facilitates the flow of medicationinto the auditory canal.9. Instruct the patient to remain on their side for 5 to 10 minutes. This assists in distributing themedication and prevents drops from escaping the ear canal.10. Place a cotton ball, or a piece of it, loosely at the opening of the auditory canal for 15minutes. It will absorb excess fluid and keep the medication from flowing out.Eye drop medication steps:1. Place medication near the patient's bedside2. Perform hand hygiene.3. Access your patient's medication administration record (MAR)4. Use two acceptable identifiers to confirm that you have the right patient5. Before administering the medication, compare the medication label to the MAR at least threetimes. Check to make sure it is the right drug, the right dose, the right route, and the right time6. Be sure the patient is in a supine or sitting position with their head slightly hyperextended. Ifthe patient has a neck injury or neck problems, do not hyperextend the head.7. DON gloves8. If you notice drainage or crusts along the eyelid margins or the inner canthus, gently wipe thearea with a warm, moist washcloth, wiping from the inner canthus to the outer canthus. Gentlypull the lower eyelid down to expose the conjunctival sac and ask the patient to look upward.9. Holding the medication .5 to .75 inches (1 to 2 cm) from the eye, squeeze a ribbon of ointmentalong the inner edge of the lower eyelid onto the conjunctiva, moving from the inner canthus tothe outer canthus.

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