EYE IRRIGATION UPDATED ON 241118 Reviewed by Mr

EYE IRRIGATION UPDATED ON 24/11/18 Reviewed by: Mr. Gireesh Associate Professor Dept. of MSN Presented by: Mrs. Prashma Lecturer Dept. of MSN

Learning objectives • To define eye irrigation • To list out the purposes of eye irrigation • To explain the equipments required for eye irrigation • To demonstrate the procedure of eye irrigation

Introduction • It’s a medical procedure of washing out of the conjunctival sac with a stream of liquid. This is use to clean out foreign objects that gets into the eye causing irritation.

DEFINITION It is the washing of the conjunctival sac by a stream of liquid

PURPOSES • To treat inflammatory process of conjunctiva • To apply medication for an antiseptic effect • To remove foreign bodies or irritating chemicals fallen into the eye • To apply heat or cold to the eye • To prepare for eye surgery

SOLUTIONS USED o o o Plain water Normal saline Boric acid 2% Acriflavin 1% Silver nitrate 1% Mercurochrome 1%

EQUIPMENTS • Warm irrigation solution prescribed 200 to 500 ml • Sterile basin • Aseptic or small bulb syringe or plastic squeeze bottle • Disposable gloves • Mackintosh and towel • I. V stand • Sterile cotton balls and kidney tray

GENERAL INSTRUCTIONS q Maintain sterile technique q Wash hand thoroughly q Treat eye separately q Place the head tilted to the effected side q Carefully clean the eye lids before irrigation starts q Separate the eye lids very gently using the thumb and the fore fingers of the left hand q Never touch the eye with an irrigator

GENERAL INSTRUCTIONS q Treat the least infected eye first q Never direct forceful streams of solution into the eye q Irrigation are usually given at body temperature q Restrict the movements of the patient when he is likely to uncooperative q Eye irrigation are carried out in good light q Direct the flow of fluid from the inner canthus to the outer canthus q If any medications are to be instilled. it is done immediately after the eye irrigation

Preliminary Assessment Ø Check the name, bed number and identification of the patient Ø Check the diagnosis and the purpose for eye irrigation Ø Check the doctor’s order for specific instruction Ø Assess the patient’s abilities and limitation Ø Assess the patient’s mental state Ø Assess the need for any restraints Ø Check the articles

PROCEDURE v Clean the eye lids and eye lashes using the wet swabs v Gently retract eye lids v Ask the client to look up while irrigating the inner part of the lower lid, ask the client to look down while irrigating the upper lid v Hold solution-filled bulb, dropper or tubing approximately 1 inch(2. 5 cm)from the irrigating the inner part of the lower eye lid

PROCEDURE v Reinforce the importance of the procedure v Allow client to blink periodically v Continue for prescribed volume and time until secretions have been cleared v Blot excess moisture from eye lid and face v Dispose of soiled supplies v Remove gloves and perform hand hygiene

After care § Observe for verbal and non verbal signs of anxiety during the procedure § Assess client’s comfort level § Inspect eye for reaction to light, accommodation or movement § Record and document the procedure in nurses record.

Summary Today we discussed about meaning, purposes, solutions used, preliminary assessment and procedure of eye irrigation.

Conclusion • Nurses play an important role in eye irrigation procedure they should know the solutions used and steps involved in eye irrigation procedure.

Evaluation 1. What are the solutions used for eye irrigation and write a note on eye irrigation procedure

BIBLIOGRAPHY 1. Lindeman Carol A, Meathie Marylov, FUNDAMENTALS. OF CONTEMPORARY NURSING PRACTICE, W. B. S a u n ders, 1 9 9 9 , Philadelphia, 2. White Lois, BASIC NURSING: FOUNDATIONS OFSKILLS AND CONCEPTS, Delmar, 2002. 3. WWW. Wikipedia. com.

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