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It is ________ to delegate the administration of eye drops to NAP.
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Eye (ophthalmic) medications come in three delivery options: drops, ________, and intraocular disks.
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NCO
Administering Ophthalmic Medications
| Question | Answer |
|---|---|
| It is ________ to delegate the administration of eye drops to NAP. | inappropriate |
| Eye (ophthalmic) medications come in three delivery options: drops, ________, and intraocular disks. | ointment |
| The intraocular disk is placed into the conjunctival sac, where it remains in place for up to a ________. | week |
| The ________ of the eye is extremely sensitive because it is richly supplied with sensitive nerve fibers. The conjunctival sac is much less sensitive. | cornea |
| An ophthalmic medication is instilled into the ________. | conjunctival sac |
| You are preparing to administer eye drops. A complete health care provider's medication order should include the patient's name, the name of the drug, the concentration, the number of drops, and the time of administration. | False |
| The patient's eyes appear clear without any exudate and/or crusting. The patient appears to see well when wearing glasses. The patient denies any eye pain. What assessment findings will affect the approach for administering the eye drops? | The patient's inability to follow instructions |
| Eye drops are administered with a sterile dropper. | True |
| You should wear sterile gloves when applying eye ointment and/or an intraocular disk to the eye. | false |
| Warm water and a washcloth are necessary to remove excess eye medication that can cause staining of the skin. | false |
| You have been teaching a patient how to self-administer eye drops. What are some expected outcomes you may use to determine whether the procedure is successful and whether the patient is ready to be discharged home with the medication? | The patient denies pain and/or irritation of the eye. The patient is able to discuss information about the medication and technique correctly. The patient correctly demonstrates self-instillation of the eye medication. |
| 1 | Apply gloves. Gently wash eye from inner to outer canthus. |
| 2 | Ask patient to look up. |
| 3 | Apply a thin stream of ointment along inner conjunctiva. |
| 4 | Have patient close the eye. |
| 5 | Remove gloves. Perform hand hygiene. Document. |
| Ask the patient to look up. | this moves the sensitive cornea away |
| Apply gentle pressure to the patient's nasolacrimal sac. . | minimizes absorption |
| Cleanse the eye from the inner to outer canthus. | avoids introduction |
| Soak any crusting with a damp washcloth for several minutes. | This allows easy removal of crust |
| Hold a clean tissue in the nondominant hand on the patient's cheekbone. | absorbs medication that escapes the eye |
| Rest the dominant hand on the patient's forehead. Hold the medication eye dropper above the conjunctival sac. | Helps prevent injury to the eye |
| If the patient blinks or closes the eye or if a drop lands on the outer lid, repeat the procedure. | therapeutic effect |
| After instilling the drops, ask the patient to close the eyes gently | This distributes the medication evenly |
| What else would you want to evaluate? | The effect of the medication by assessing the desired changes |
| What can be a possible explanation for the patient's current condition? | The patient absorbed the medication systemically through the tear duct. |
| 1 | lacrimal gland |
| 2 | outer canthus |
| 3 | inner canthus |
| 4 | nasolacrimal ducts |
| 5 | nasolacrimal sac |
Created by:
colby.caswell