Administering

Vaginal
Instillations
Purpose:
• To treat or prevent
infection
• To reduce inflammation
• To relieve vaginal
discomfort
Equipment: Vaginal Instillation
• Drape
• Vaginal suppository or cream
• Applicator for vaginal cream
• Sterile gloves
• Lubricant
• Towel
• Clean perineal pad
 Procedure:
Steps Rationale

Close room curtain or Provides client’s privacy

door
Ask client to void If the bladder is empty, the
client will have less
discomfort during the
treatment
Assist the client to lie in This position enables
dorsal recumbent position. visualization of the vaginal
area and easy access for
insertion of the suppository
 Procedure:
Steps Rationale

Keep abdomen and lower Provides privacy

extremities draped.

Put on clean gloves. Decreases risk of

transmission of
microorganisms.

Provide perineal care This decreases the chance

of moving microorganisms
into the vagina
 Procedure:
Steps Rationale

For suppository
insertion:
a. Remove Lubrication facilitates
suppository from insertion. Lubricant
wrapper and apply reduces friction against
water-soluble vaginal mucosa as
lubricant. medication is inserted.
 Procedure:
Steps Rationale

b. With non dominant Allows visualization of the

gloved hand, separate vaginal orifice and eases
the labial folds. insertion of the
medication.
 Procedure:
Rationale
Steps
For suppository insertion:
c. Insert the suppository Medication must be inserted
about 8-10 cm. along completely to provide coverage
of the entire vagina. When
the posterior wall of the
medication is deposited at the
vagina posterior end of the vagina.
Gravity will allow medication to
move toward the orifice.
d. Withdraw finger and Reduces transmission of
wipe away remaining microorganisms.
lubricant from around
the orifice and labia.
For suppository insertion:
Steps Rationale

For application of gel or foam

a. Fill the applicator with
cream or foam

b. Gently separate labial Allows visualization of

folds with non-dominant the vaginal orifice and
gloved hand eases insertion of the
medication
Steps Rationale

For application of gel or foam

c. Gently insert applicator
about 5 to 7.5cm. Push
applicator plunger to
deposit medication into
vagina.
d. Withdraw applicator and To prevent spread of
place on paper towel. microorganisms.
Wipe off residual cream
from labia or vaginal
orifice
For application of cream,
gel or foam
Steps
Instruct client who
received suppository,
cream or foam to remain
on her back for at least 10
minutes
Offer perineal pad when
client assumes ambulation
Discard gloves and other
soiled equipment in
appropriate receptacle.
Wash hands
Rationale
This position maximizes
retention and absorption of
the suppository
It will absorb excess
drainage and protect client
and bed.
Prevent spread of
microorganisms.