Instillations

1
Chapter 9

• Instillations Irrigations of the Eye and Ear

2
Vocabulary

• Auricle
• Canthus
• Cerumen
• Conjunctiva
• Cornea
• External Ear
• External Auditory Meatus

3
Continued

• Miotic
• Mydriatic
• Ocular
• Ophthalmic
• Otic
• Otology
• Sclera
• Tympanic membrane

4
Ear Instillations

• Direction matters
• Adultsup and back
• Childrendown and back

5
Clean or Dirty

• Ear canal is not sterile.
• Use aseptic techniqueunless you have a ruptured
  tympanic membrane
• Then sterile technique applies.

6
Hot or Cold

• Instilling medication or fluid that is too hot or
  too cold can cause discomfort to your patient.
• Make sure that medications are room temperature.

7
Why perform ear instillations?

• Soften cerumen.
• Instill an antibiotic.
• Instill and antiinflammatory.

8
Why perform ear irrigations?

• Clean the external auditory meatus.
• Relieve inflammation.
• Dislodge impacted cerumen.
• Apply antiseptics.
• Apply heat.

9
Before you begin an irrigation

• Ask the patient if he/she has a hx. of ear
  drainage.
• Ask the patient if he/she has ever had a
  perforation.

10
Eye Instillations and Irrigations

• Eye instillations are performed for the following
  reasons
• Dilate the pupil
• Constrict the pupil
• Relieve pain
• Treat infection and inflammation
• Anesthetize the eye
• Stimulate circulation of the eye

11
Eye Irrigations

• Performed to relieve inflammation
• Remove secretions
• Prepare for eye surgery
• Wash away foreign bodies or chemicals
• Provide antibacterial or antifungal effects

12

• http//www.rainbowpediatrics.net/otitis/OMframe.ht
  ml

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Normal Tympanic Membrane
14
Otitis Media
15
Perforation
16
Cerumen
17
Chalazion
18
Stye
19
Blepharitis

• Caused by Staphylococcus

20
Dacryocystitis
21
Bacterial Conjunctivitis
22
Sceritis
23
Diabetic Retinopathy
24
Icterus