care of patient ears nursing

Care of The Patients ears

EAR IRRIGATION

Ear irrigation is the process of flushing the external ear canal with sterile water or sterile saline 

OR

Is the washing of the external auditory canal with a stream of fluid

Indications.
  1. To cleanse the ear incase of purulent discharge caused by  middle ear infection.
  2.  To soften and remove impacted cerumen.
  3.  Dislodge a foreign body(except hygroscopic substances like ethanol, sodium chloride)
  4.  To relieve localized inflammation and discomfort.
  5. For antiseptic effect
  6. To apply heat or cold
  7. To evaluate vestibular functions (e.g. bi-thermal caloric test).
  • Solution used
  • Boric acid 2-4%
  • Sodium bicarbonate solution 1%
  • Normal saline
  • Hydrogen peroxide 2%
  • Sterile water

ear care

Requirements.
Tray(sterile)
•Ear syringe in a receiver
•Auroscope.
•Basin and vomitus bowl
•Receiver
•Clean gloves
•Mackintosh cape
•Prescribed solution in a bowl of warm water
•Patient’s towel
•Cotton swabs
Bed side.
•An adjustable light, screen, plastic apron and hand washing equipment

Procedure.
  1. Explain the procedure to the patient to obtain consent and cooperation
  2. Provide privacy by screening or closing nearby windows.
  3. Wash hands,
  4. Prepare the equipment and bring at bed side.
  5. Position the patient in sitting up.
  6. Inspect the auditory canal using the auroscope.
  7. Ask the patient to be seated. If unable to sit, let him lie on the back and tilt the head slightly towards
    the affected ear.
  8. Provide a good light.
  9. Place the mackintosh and patient’s towel on his/her shoulder and upper arm, under the affected ear
    or if lying down, cover the pillow and the area under the affected ear.
  10. Let the patient hold the receiver close to his/her head under the affected ear.
  11. Clean the auricle and the meatus of the auditory canal with cotton wool swabs moistened with the
    solution.
  12. Draw the solution into the syringe and expel air.
  13. Straighten the auditory canal; then insert the syringe tip and start the flow.
  14. 0bserve the patient during the syringing for signs of dizziness or pain.
  15. Remove the syringe when it is empty, inspect the return flow. Then refill the syringe and continue
    irrigation until the return flow is clear.
  16. Remove the syringe and using an auroscope inspect the canal for cleanliness.
  17. Dry the patient’s auricle and remove the patient’s towel and mackintosh cape.
  18. Help the patient to lie down on the affected side to promote drainage of residual debris and solution.
    Place a gauze pad under his ear.
  19. Clear away and document findings.
Spread the love

1 thought on “Care of The Patients ears”

  1. Pingback: FOREIGN BODIES IN THE EAR, NOSE AND THROAT - Nurses Revision

Leave a Comment

Your email address will not be published. Required fields are marked *

Contact us to get permission to Copy

We encourage getting a pen and taking notes,

that way, the website will be useful.

Scroll to Top