Eye Drop Instillation Instructions

1. Wash your hands. 2. Tilt your head back and look at the ceiling. 3. Using your index finger, gently pull down your lower eyelid to form a pocket

4. Gently squeeze 1 drop into the pocket. Do not let the bottle tip touch your eye, your fingers or any other surface. 5. Gently close your eye for about 2 minutes. This helps keep your medication in contact with your eye and prevents absorption into the blood stream.

Care of contact Lens

Keep Lenses Clean

1. Before handling contact lenses, wash and rinse hands. 2. Use a mild non-cosmetic soap. Soaps with perfumes, oils, or lotions leave a film on the hands, which you may transfer to your lenses and cause eye irritation or blurred vision. 3. Dry hands with a clean, lint-free towel.

4. If you use hair spray, use it before you put in your contacts. Its also a good idea to keep your fingernails short and smooth to avoid damaging your lenses or scratching the eye. 5. After your contacts are in your eyes, put on makeup so you dont get any on your lenses. Take out contact lenses before you remove makeup for the same reason.

6. Always use the disinfecting solution, eye drops, and enzymatic cleaners your eye care professional recommended. Some eye products or eye drops are not safe for contact lens wearers. 7. Never use tap water directly on lenses, and never put contact lenses in your mouth to "rinse" them. Microorganisms can live in even distilled water, causing infection or sight damage.

 Clean each contact by rubbing it gently with your index finger in the palm of your other hand. Most multipurpose solutions dont have No Rub on their labels anymore. Lightly rubbing your contact removes surface buildup. Clean your contact lens case every time you use it with either sterile solution or hot tap water. Let it air

Prosthetic Eye Care

1. Wash and rinse hands thoroughly. (30 seconds)

2. Face mirror (if this is over a lavatory, place a towel over all hard surfaces and cover the sink drain)

Tilt the head slightly downward while looking at the artificial eye in the mirror, this rotates the prosthesis into a favorable position for removal.

Hold one hand, palm upward and heel against the mouth, below the eye socket to catch the prosthesis if it comes out suddenly.

3. Place the forefinger

of the other hand against the middle of the lower lid, close to the eyelashes and parallel to them.

Press the lower lid tissue backward until the lid margin goes under the lower edge of the artificial eye.

At the same time, pull the finger sideways toward the cheekbone to stretch the lid margin under the bottom edge of the prosthesis, exposing it to view. The effect will be like an edge of a button hole.

4. If the artificial eye does not slide out of the socket by itself the cupped hand may be taken away from the cheek and its forefinger and thumb used to grasp the prosthesis and rock and pull gently from under the lid.

After removal, the eye should be rinsed or washed, being careful not to drop it down any open drain.

Cleaning the Eye

Administering Otic Instillations

Ear irrigation
is the process of flushing the external ear canal with sterile water or sterile saline. It is used to treat patients who complain of foreign body or cerumen (ear wax) impaction.

PURPOSE
1. The purpose of ear irrigation is to remove earwax that is obstructing the ear canal 2. to remove a foreign object lodged in the ear canal.

Precautions
The ear canal should be examined with an otoscope prior to ear irrigation. 1. Ear irrigation is contraindicated if the eardrum is ruptured, because the procedure may force bacteria through the perforation into the inner ear.

Precautions/Contraindications
1. Patients with fever and earpain, as these symptoms may indicate an inner ear infection. 2. If a foreign object is made of vegetable matter (e.g., a bean or pea), irrigation is contraindicated because the water will cause the object to swell and complicate extraction of the object.

Description

Administering Otic Instillations

PREPARATION Assess: Appearance of the pinna of the ear and meatus for signs of redness and abrasions Type and amount of any discharge

 Assemble equipment and supplies:

Clean gloves Cotton-tipped applicator Correct medication bottle with a dropper Flexible rubber tip (optional) for the end of the dropper, which prevents injury from sudden motionfor example, by a disoriented client Cotton fluff

For irrigation, add: 1. Moisture-resistant towel 2. Basin (e.g., emesis basin) 3. Irrigating solution at the appropriate temperature, about 500 mL (16 oz) or as ordered 4. Container for the irrigating solution

5. Syringe

Administering Otic Instillations Skill 35-11

Copyright 2008 by Pearson Education, Inc.