MEASURES IN MEETING THE NEEDS OF CLIENTS

WITH VISUAL, NASAL AND AUDITORY

ALTERATIONS
ADMINISTERING IRRIGATION
FOR

EYES AND EARS

OPHTHALMIC
IRRIGATION
• RATIONALE:
 TO LUBRICATE OF THE EYES OR SOCKET OF
PROSTHETIC EYE.
 TO AID EYE EXAMINATION
 TO DECREASE INTRAOCULAR PRESSURE
 TO PROVIDE DIRECT ROUTE FOR LOCAL EFFECT
 TO OBTAIN DESIRED THERAPEUTIC EFFECT
 TO REMOVE FOREIGN MATERIAL
MATERIALS NEEDED:

STERILE CONTAINER STERILE

IRRIGATING
SOLUTION COTTON BALLS

STERILE NSS

STERILE EYE STERILE

SYRINGE/IRRIGATOR KIDNEY BASIN STERILE GLOVES
 PLANNING AND IMPLEMENTATION
1. Verify the medication or  type
irrigation order.  Amount
 Temperature
 strength of the solution
 frequency of the irrigation
2. Wash your hands

3. Prepare the client  Orient the patient

 Position the patient
 Sitting or lying down
 Tilt the head towards the affected eye
 Ensure comfort and protect eyes from
the light
 Place drape and position the kidney
basin

4. Assess the eyes  Presence and location of redness, lacrimation,

swelling; nature of discharge
 Note of complaints (verbal cues)
 Observe behavioral cues
5. Clean the eyelid and eyelashes
 Inner to outer canthus

6. Administer the irrigation

 Expose the lower conjunctival sac
 Fill and hold the eye irrigator about 2.5 cm above the eye
 Irrigate the eye onto the lower conjunctival sac; inner to outer
canthus
 Close and move eyes periodically
 Irrigate until solution has been used or until no discharge is
present

7. Wipe the eyelids; from the inner to the outer canthus.

8. Apply an eye pad

9. Assess the client’s response

10. Do after – care

 EVALUATION AND DOCUMENTATION

 
1. Assess patient’s responses
 immediately after the irrigation
 after the medication should have acted.
 
2. Document nursing assessments and interventions relative to the
irrigation procedure
 name of the drug
 Strength of the drug
 number of drops if a liquid
 the time the procedure was carried
 response of the client.
OTIC
IRRIGATION
RATIONALE:
 To soften earwax.
 To relieve pain.
 To produce anesthesia.
 To treat infection or inflammation.
 To facilitate the removal of a foreign body.
 To apply heat.
MATERIALS NEEDED:

CONTAINER FOR THE IRRIGATING COTTON BALLS

IRRIGATION SOLUTION

APPLICATOR
SWAB
TOWEL
RUBBER BULB/
ASEPTO SYRINGE

STERILE
KIDNEY BASIN STERILE GLOVES
 PLANNING AND IMPLEMENTATION
1. Verify the medication or
irrigation order.
2. Prepare the client
3. Assess the pinna of the
ear and the meatus of the
external auditory canal
4. Don gloves
 Kind
 Amount
 Temperature
 strength and temperature of the solution
 Which ear to be treated
 Orient the patient especially of the upcoming
experience
 Position the patient
 Sitting or lying down
 head turned toward the affected ear
 Place the moisture – resistant towel
around the client’s shoulder under the
ear to be irrigated, and place the basin
under the ear to be irrigated.
 Redness, abrasion and discharge
5. Clean the pinna of the ear and the meatus of the ear canal

Prepare the Equipment

 Fill the syringe with solution
 Hang up the irrigating container, and run the solution through the tubing and
the nozzle

6. Administer the irrigation

 Straighten the auditory canal
 Infants: downward
 Adults: upward and backward
 Insert the tip of the syringe into the auditory meatus; direct the solution gently
upward against the top of the canal.
 Irrigate until the solution is used or canal is cleared.
 Do not block the outward flow of the solution

7. Dry the outside of the ears and drain excess fluid

8. Assist patient to a comfortable position

10. Do after – care

 EVALUATION AND DOCUMENTATION

 
1. Assess the patient
 For discomforts
 Appearance and odor of fluid returns
 
2. Document nursing assessments and interventions relative to the
irrigation procedure
Time of administration
Type
Concentration
Amount
temperature of the solution used.