Eye irrigation procedure - PowerPoint PPT Presentation

About This Presentation
Title:

Eye irrigation procedure

Description:

As a nurse how should do eye irrigation procedure in hospital.it mainly dedicated for nursing students – PowerPoint PPT presentation

Number of Views:9646
Updated: 5 August 2016
Slides: 37
Provided by: fish86pm
Category:

less

Transcript and Presenter's Notes

Title: Eye irrigation procedure


1
EYE IRRIGATIONMs. Meena,Associate Professor
2
  • IRRIGATION
  • cleaning a wound or body organ by
    flushing or washing out with water or a medicated
    solution.

3
EYE IRRIGATION
  • Washing of the eye externally using stream of
    water or other medicated fluids.

4
PURPOSES OF EYE IRRIGATION
  • To clean the eye.
  • To remove foreign particles , excessive
    secretions or discharge.
  • To reduce inflammation , congestion and pain.

5
Cont
  • To relieve discomfort.
  • To apply medication for an antiseptic effect.

6
INDICATIONS
  • Alkali or acid burns.
  • Chemical irritants.
  • To remove foreign bodies from the eye.

7
Cont
  • Biohazard exposures.
  • To prevent corneal and conjunctival scarring.

8
CONTRA-INDICATIONS
  • Narrow anterior chamber angles.
  • Head injury.
  • Hypersensitivity to medications ( solutions
    used in eye irrigation).

9
PRINCIPLES
  • Comfort.
  • Safety.
  • Aseptic technique.
  • Gentle handling.

10
ARTICLES
  • ARTICLES
  • A tray containing
  • Eye irrigator ( undine) , a syring or plastic
    bottle with the prescribed solution and I /v set
    with attached tubing or a
  • RATIONALE
  • To irrigate the eye.

11
Cont
  • sterile irrigating can with tubing or eye dropper.

12
Cont
  • A bowel or jar with solution.
  • Sterile wet swab in a bowl.
  • To irrigate the eye.
  • To clean the eye before the procedure.



13
(No Transcript)
14
(No Transcript)
15
Cont
  • Sterile cotton balls in a container.
  • A mackintosh and a towel.
  • To dry the eye after procedure.
  • To protect bedding and garments.

16
Cont
  • Gloves.
  • A kidney tray and paper bag.
  • Eye medication if ordered
  • To prevent cross infection.
  • To receive the waste.

17
SOLUTIOS USED
  • Plain water.
  • Normal saline
  • antiseptic , non- pyrogenic and
    isotonic.

18
Cont
  • Boric acid 2
  • antiseptic , insecticide , flame retardant
    and neutron absorber.

19
Cont
  • Silver nitrate 1
  • antiseptic , cauterizing agent and
    disinfectant.

20
PROCEDURE
  • STEPS OF PROCEDURE
  • Explain the procedure to the patient and instruct
    him to tilt his head toward the affected eye .
    the patient may sit or lie in a supine position.
  • RATIONALE
  • To win the patient confidence and co-operation of
    the client.

21
Cont
  • Place the mackintosh and towel under the patient
    head.
  • The kidney tray should be placed on the affected
    side of the face.
  • Protect the bedding and clothing.
  • To prevent the bedding and clothes.

22
Cont
  • Assemble articles at the bedside.
  • Test the temperature of the irrigating solution.
  • Facilitate orderly performance of procedure.
  • The fluid should be at body temperature, if not
    specified.

23
Cont
  • Wash hands.
  • Clean the eyelids and eyelashes using sterile wet
    swabs.
  • To prevent cross infection.
  • Any crust on the eyelids and eyelashes should be
    washed off before irrigation.

24
Cont
  • Hold the eyelids open by separating the eyelids
    gently with the thumb and forefingers.
  • Hold the filled eye irrigator about 2.5cm (
    1inch) above the eye.
  • If force is exerted on the eye , it can cause
    spastic closure of the eyelids and will make
    irrigation difficult.
  • Ensure safe pressure of the solution and avoids
    possible injury to cornea.

25
Cont
  • Allow irrigating fluids to flow from the inner
    canthus to the outer canthus.
  • To prevent forcing the infection to the
    nasolacrimal duct.

26
cont
  • Irrigate the eye until the solution leaving the
    eye clear.
  • Repeat the procedure on the other side if
    necessary.
  • For proper cleaning of the eye.
  • To avoid the spread of the infection from one eye
    to the other.

27
AFTER CARE
  • Dry around the eye and face with dry swab.
  • Apply medication if ordered.
  • Prevent infection and provide comfort.
  • Aid is healing and prevent infection.

28
Cont
  • Replace the articles.
  • Record the procedure with date and time.
  • Provide documentation for nursing action.

29
COMPLICATIONS
  • Injury to soft tissues of the eyes.
  • Superficial abrasion to cornea and conjunctiva.

30
Cont
  • Infection to nasolacrimal duct.
  • Burns.

31
NURSING RESPONSIBILITIES
  • Check the name , bed number and identification of
    the client.
  • Check the diagnosis and purpose of the eye
    irrigation.

32
Cont
  • Check the doctors orders for specific
    instructions regarding type of the solutions ,
    and the temperature .
  • Check the articles available in the patient unit.

33
Cont
  • Assess the patient mental status to follow the
    instructions.
  • Maintain aseptic technique .

34
Cont
  • Record the amount of the fluid used.
  • Instruct the client do not rub the eye for
    sometime after the eye irrigation procedure.

35
Cont
  • Inspect the eye after procedure if any
    ulceration sign appear refer client to
    physician.
  • If boric acid solution is used instruct client
    not go to sunlight immediately.

36
  • THANK YOU
Write a Comment
User Comments (0)
About PowerShow.com