NASAL INSTILLATION (Nasal drops instillation)

            

 

NASAL  INSTILLATION

The  patient  who have the problem related  to nasal sinuses, receives , the  nasal  sprays and  drops . The  most common  drugs are  decongestants .They  are used  to relieve the symptoms of  sinus congestion and colds.

Equipments :-  

 *medicine with clean dropper and spray container

 * small  face  towel 

*  small  pillow

 *  Disposable gloves  ( when PT has excessive nasal  discharges.)

* Physician’s order sheet  .

* penlight (to inspect nasals)

1.Grather information  regarding affected  sinus         

By asking patient and by referring medical records      

.Assess  the  history  of the PT for hypertension , Heart  disease, hyperthyroid and diabetes mellitus    

3.Identify the right PT by-  Ensure that right PT

* comparing  PT card .

 * Repeating  the name of the  patient  Helps easy inspections and administration of                                                                                          nasal  drops / sprays .

4 Assist the  patient in maintaining supine position  

 5. Provide baseline date  regarding condition of the Inspect  the condition of the nose and sinus Removes mucous &secretion for       

Helps to reduce the anxiety Using penlight .                                                                   

 6.Explain procedure to the patient .                     

Instruct patient to below nose gently 

.a. position allows medications to drain into  affected sinus.

    b. Prevent aspiration of drug into the trachea and  lungs.

8.Administer nasal drop                                                                      

a. position head properly .                                                                  

  c. Avoid contamination of dropper.

(i) .Till  head back oven edge of bed or place small pillow              

(ii) Till head back over edge of bed or pillow with head turned  mucosa.

c .Hold the spray /dropper above the noses and instill prescribed

numbers of drop /spray towards medicine of ethmoid bone.         

d. Instruct client to remain in supine position for 5 min                     

·         . Maintain clean environment and

·         Assist  PT for main training  comfortable position . prevent  cross infection .

·         Discard soiled supplies and  hand  wash                                     

·         Prevent systemic reactions.

·         observe PT for side effects  15 -30 min after  administration    Response  of medication can be 

·         12. Re inspect the condition of nasal passages  assessed.

·         Record medication name, concentration ,number of drops     

·         13. Prevent duplication. And time of administrate on the recording shut .

14. Report for any unusual  system effects of  drug  to nurse in charge / physicians .