Question

Skill name: Administer opthalmic medication

what is the Description of this skill?

what are the indicators?

what are the nursing interventions (pre, intra, post)?

what are the outcomes/evaluation?

what is the client education for this skill?

what are the potential complications?

what are the nursing interventions?

Answer 1

Skill : Administration of opthalmic medication

       * Description

                       * It is a non invasivr procedure in which topical instillation of eye medications

                         into the eye.

        * Indicators

                      * To instill medication before surgery or examination to eyes.

                      * To treat eye infections.

                      * For the lubriation of eyes.

                      * To stain cornea for detect abrasions ans scars.

        * Nursing interventions

                   * Pre procedure

                              * Prepare the patient for procedure by explaining procedure and give comfortable

                                 position like sitting or lying with head hyperextended.

                              * Clean eyelids and eye lashes with normal saline and sterile cotton swab

                                and clean from inner canthus to outer canthus to prevent contaminant enter

                                into the other eye and lacrimal duct.

                    * Intra procedure

                               * Checking ophthalmic medicine for name,dose,number of drops and date

                                  of expiry and instruct patient to look up to the ceiling.

                               * Placing a thumb of finger expose the lower conjunctival sac and gently draw

                                  down the skin on the cheek.

                               * Administer eye medication after discarding first drop of in case of liquid medication

                                 or first bead in case of oilment to avoid contamination.

                    * Post procedure.

                               * After instillation instruct patient to close the eyelid and not squeeze to avoid

                                 eye injury.

                               * Instruct the patient to press on nasolacrymal duct for atleast thirty seconds to

                                 prevent medication running down the duct.

                              * Apply eye pad to reduce risk of injury.

               * Outcomes /evaluation

                             * Assess the response of patient to eye medication.

                             * Evaluate for any signs of allergic reaction and report physician immediately

                                if it occur.

            * Client education

                            * Teach the client to wash hands and use sterile water to clean the eye before

                               procedure.

                            * Educate to instill medication from inner canthus to outer canthus for avoid

                              contamination.

                            * Educate to seek medical care if any complications occur after instillation.

              * Potential complications

                                * Blurried vision.

                                * Glare or hallows around lights.

                                * Sensitivity to light.

                                * Dry eye.

             * Nursing interventions

                                * Eye irrigation to wash out medications from eye.

                                * Corticostroid therapy to decrease inflammatory responses in eye.

                                * If complications are due to infection occur from contamination during instillation

                                   begin antibiotic therapy as per doctors order.

                                * Give psychological suppoert to reduce the stress level of patient related to eye

                                   problem.