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Ear Instillation

The document provides instructions for ear instillation, including preparing supplies, positioning the patient, instilling medication drops into the ear canal, keeping the patient in position for absorption, and documenting the procedure and patient response. Ear instillation is used to soften earwax, relieve pain, provide local therapy to reduce inflammation or destroy infective organisms in the external ear canal.

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Trisha Apillanes
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6K views2 pages

Ear Instillation

The document provides instructions for ear instillation, including preparing supplies, positioning the patient, instilling medication drops into the ear canal, keeping the patient in position for absorption, and documenting the procedure and patient response. Ear instillation is used to soften earwax, relieve pain, provide local therapy to reduce inflammation or destroy infective organisms in the external ear canal.

Uploaded by

Trisha Apillanes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Cebu Doctors’ University

College of Nursing
Mandaue City

EAR INSTILLATION

Definition:
Ear instillation- introduction of otic medication into the ear.

Purposes:
1. soften earwax so that it can be easily removed at a later time
2. relieve pain
3. provide local therapy to reduce inflammation and/ or destroy infective
organisms in the external ear canal which can cause intolerable
discoloration.
4. destroy infective organisms in the external ear.

Materials: A lined tray with:


Medication bottle with dropper Clean gloves
Cotton-tipped applicator Cotton ball

PROCEDURE RATIONALE
1. Check the doctor’s order.
2. Transcribe the doctor’s order.
3. Go to patient’s room and explain the
procedure and its’ purpose.
4. Take patient’s vital signs.
5. Go back to the station and gather the
materials needed.
6. Compare otic medicine with its’
medication ticket. Then warm the
medication by running warm water over
the bottle.
7. Wash hands and arrange supplies at
bedside. Wear clean gloves.
8. Check the patient’s identification thru his
ID bracelet and by asking his name.
9. Have the client assume side-lying position
with ear to be treated facing up, or client
may sit on chair at the bedside. The nurse
should stabilize the patient’s head with his
or her hand. Place the patient’s towel on
the shoulder of his affected side.
10. For adults, gently pull the pinna up and
back; in children age 3 or less, pull the
pinna down and back.
11. If cerumen or drainage occludes
outermost portion of ear canal, wipe out
gently with cotton tipped applicator. Do
not insert the applicator into the ear canal.
12. Instill prescribed drops holding dropper 1
cm (1/2 inch) above ear canal. To avoid
patient discomfort , aim the dropper so
that the drops fall against the sides of the
ear canal.
13. Ask client if any discomfort is felt during
instillation.
14. At times, the physician may order
insertion of a portion of cotton ball into the
outermost part of the canal. Do not press
cotton into the canal.
15. Ask client to remain in position for 5-10
minutes. Apply pressure to tragus of ear
with finger.
16. Remove cotton after 15 minutes.
17. Assist client in a comfortable position
after drops are absorbed. Remove
gloves, dispose soiled supplies and wash
hands.
18. Evaluate condition of external ear before
and after each drug instillation.
19. Evaluate hearing acuity of patient.
20. Impart health teachings about the side
effects of the medication, ear care, etc.
21. Document the following:
a. drug/ medication
b. frequency
c. amount
d. patient’s response

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