Question

Mr. J. Zee a 75-year-old man presents to the clinic with his eye drops and ear drops. His wife normally helps him but she is out of town visiting her sisters in Las Vegas, NV. He asks the LPN to put his drops in for him, saying he might be back until his wife Bea returns. 1. List the proper steps for instilling eye drops into the client's eyes. 2. List the proper steps for instilling ear drops into the client's ears. a. What if this were a child? How would the ear drops be instilled into a 2-year-olds ear?

Answer 1

Q.1

Answer = Steps of instilling of eye drops =

Eye instillation = A process of administer eye drops.

Purpose = - Diagnostic ( Fundoscopy ) , Therapeutic and Prevent infection .

Steps of Eye instillation =

Position of patient = Supine/ sitting with tilt the head in backward.

- Discard the first drops before instillation.

- Instruct to patient for look up and backward.

* Site selection = Lower conjunctiva or lower eye lid for eye drops.

- For ointment - Inner canthus to outer canthus.

* 2 - 2.5 cm Height of droper maintain by nurse during Instill eye drop.

Q.2

Answer = Steps of ear drops instillation =

Ear drop instillation - Instill the medication into the ear called Ear instillation.

Purpose =

- To facilitate removal of cerumen or foreign body and improve hearing.

Steps = Hold the Ear pinna .

Position = Lateral just opposite of the affected ear.

Adult = Hold the ear pinna with the non dominent hand, strengthen the external ear cannal by gently pulling upward and backwardon the ear of adult.

Q. Answer a ) = Ear drops insillation into a 2 years child.

Position = Lateral just opposite of the affected ear.

Hold the medication bottle between hands for 1-2 minute to warm drops before administering.

- Hold the pinna downward and backward and instill the medication.

- Pump tragus by pushing on the flap of skin protecting the ear canal five to six times to ensure drops reach eardrum.