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Question
Advanced Pharmacology
Administration of ophthalmological medications requires some explanation.
1. What are the important points that you would review with a patient when teaching how to instill ophthalmic drops and when teaching how to instill ointment?
2. What are the differences you would need to consider if the patient was a child or if the patient is a geriatric patient?
Search the literature to see whether you are able to locate any guidelines to support this teaching
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Nursing |
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2 |
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Answer
Some of the crucial points I would review with a patient when teaching to instill ophthalmic drops includes:
-The requirement to wash hands prior as well as following the use of drops
- Remind them to shake the bottle properly
- Instilling in the lower conjunctival fornix as well as ideally keeping the eye closed for approximately 2 minutes following application (Ford and Roach, 2014).
-Gently pressing the tear duct for approximately a minute and using absorbent tissue to remove excess solution.
Teaching how to instill ointment
- Remind about the requirement to wash hands prior as well as after applying ointment to avert cross infections.
- Probably recommend the use of non- sterile gloves to ensure maximum safety against cross infections
- When prescription is for the eye itself, instill a ribbon of the treatment into the lower fornix and them the patient closing the eye.
- The ointment may no quickly melt or spread over patient’s eye, causing some blurred vision.
- Wipe the excess ointment form the eyelids and always clean the eyelids prior next application.
Some of the differences considered if a patient is a child or geriatric:
- the points are quite similar, but there is need for another person to assist them through, for instance, holding the child and babies or toddlers can be wrapped using a blanket. The individual offering assistance need to pull down the kid’s eyelid and release it following application to allow her or him to blink (Workman and Lacharity, 2015).
- In addition, the individual offering assistance ought to clean excess application using clean wipes.
-In sum, assistance is needed when children and geriatric patients are involved and sometimes this will involve gently rubbing their eyelids to ensure the drops bathe the eye.
References
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Ford, S and Roach, S. (2014). Roach’s introductory clinical pharmacology. USA: Lippincott.
Workman, L and Lacharity, L. (2015). Understanding Pharmacology. USA: Elsevier.
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