EAR INSTILLATION 7.pptx nidhijaiswal

"The ear is the only true writer and the only true reader".

1. INDIRA GANDHI COLLEGE OF NURSING EAR INSTILLATION NIDHI JAISWAL B.SC (N) IV YEAR IGSCON

2. INTRODUCTION TERMINOLOGY DEFINITION PURPOSE CONTRAINDICATION ARTICLES PROCEDURE SUMMARY CONCLUSION BIBLIOGRAPHY OVERVIEW

3. The ear is the organ of hearing and is also involved in balance. It is supplied by the 8 th cranial nerve , vestibule-cochlear nerve. which is stimulated by vibrations caused by sound waves. INTRODUCTION

4. INSTILLATION- Instillation is pouring or injecting a substance drop by drop. STERILE- It is defined as the completely clean and free from bacteria. TEMPERATURE- The temperature is the specific degree of hotness or coldness of the body. TERMINOLOGY

5. TYMPANIC MEMBRANE PERFORATION- It is the perforation or rupture of tympanic membrane (ear drum) which may cause temporary hearing loss and occasional discharge. AUDITORY CANAL- This is the tube that connects the outer ear to the inside or middle ear. The ear canal is about 2.5cm long and not straight but curved. CON …

6. EAR WAX- It cleans your ears and protects them from dust, dirt and infection. PAIN- And unpleasant sensory and emotional experience associated with actual tissue damage. HYPERTHERMIA- An abnormal high temperature or overheating in the human body. CON …

7. An instillation is defined as process by which a liquid medication is introduced into a cavity drop by drop. OR An instillation of drops into the auditory canal. DEFINITION

8. To soften ear wax for removing it. To treat infection and inflammation. Reduce ear pain. To facilitate removal of foreign body. To produce local anesthesia. PURPOSE

9. Rupture of tympanic membrane . CONTRAINDICATION

10. Bowl of warm water. Clean gloves. Cotton balls. Gauze piece. Kidney tray. Ear medication ARTICLES

11. Nursing Action 1) Assess for: Redness in the pinna. Type and amount of discharge. Complaints of discomforts. Ability to cooperate during procedure. Allergy to medication . 1 ) Identifies contraindication for ear instillation. PROCEDURE Rationale

12. CON …. Specific drug action and side effects. Patients knowledge about medication to be administered. 2) Check medication order for name, dose, time, amount and ear to be treated. 2) Reduces risk of medication errors.

13. CON … 3) Identify patient and explain procedure, the purpose of medication and position to assume during and after instillation. 4) Obtain assistance in case of children or infants to immobilize them. 3) Reduces anxiety and promotes cooperation of patient. 4) Prevents accidental injury due to sudden movement during the procedure.

14. CON … 5) Assist patient to side-lying position with ear being treated uppermost. 6) Clean meatus of ear canal using cotton tipped applicators. Use normal saline, time in warm water. 6) Removes any discharge before instillation.

15. CON … 7) Warm container in hand or by placing it for a short time in warm water. 8) Fill ear dropper partially with medication. 7) Promotes patient comfort and prevents vertigo and nausea.

16. CON … 9) Straighten auditory canal. For an infant or child under 3 years, pull pinna down and back. For an adult or child older than 3 year, pull pinna upward and backward. 9) Straightening the canal can ensure solution to flow the entire length of the canal.

17. CON..

18. CON … 10) Instill correct number of drops along side of ear canal by holding the dropper one centimeter (1/2 inch) above ear canal. 10) Reduces trauma to tympanic membrane.

19. CON … 11) Press gently and firmly a few times on the tragus of the ear. 11) Pressing on the tragus assists flow of medication into ear canal.

20. CON … 12) Instruct the patient to remain in side-lying position for about 5 minutes. 12) Prevents drops from escaping and enables medication to reach all side of canal.

21. CON … 13) Insert a small piece of cotton fluff loosely at the meatus of auditory canal for 15-20 minutes. 14) Assess for patients comforts. Response and check for discharge/drainage from the ear. 13) The cotton helps to retain medication when patient is upright. If pressed too tightly the cotton will interfere with the action of drug and movement of secretion.

22. CON … 15) Replace medication and other articles. 16) Wash hands 16) Reduces spread of microorganisms.

23. CON … 17) Document medication administration, name of medication, number of drops administered and patients response.

24. Use sterile technique in administration of medication in case of perforation of the tympanic membrane. Hydrocortisone ear drops are contraindicated in patients with fungal/viral infection in the ear. SPECIAL CONSIDERATIONS

25. POSITION: Prone or supine with head turned to the opposite site. PEDIATRIC VARIATION

26. SUMMARY Today we discussed about : Introduction Terminology Definition Purpose Contraindication Articles Procedure Special contraindications Pediatric variation

27. I hope you have understood the topic and would know how to take seminar in future. CONCLUSION

28. Jacob A. Text R. Rekha elat . Clinical nursing procedure : the art of nursing practice 2ed jaypee . Brothers medical publishers (p) LTD Bangluru , New Delhi pp-280-281. Fondamental of nursing skill lab mannual for health science student pp- Saumya k. prof . A text book of nursing foundations 1ed : 2019 medical book. Publisher bangluru pp- https://www.slideshare.net/manivmcon/ear-drops https://www.slideshare.net/sheelamannil john/instillation-of ear-drops docx BIBLIOGRAPHY