Eye irrigation

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

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EYE IRRIGATION

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

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PURPOSES OF EYE IRRIGATION

• To clean the eye.
• To remove foreign particles , excessive
  secretions or discharge.
• To reduce inflammation , congestion and pain.

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

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INDICATIONS

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

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

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CONTRA-INDICATIONS

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

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PRINCIPLES

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

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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.

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• sterile irrigating can with tubing or eye dropper.

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• A bowel or jar with solution.
• Sterile wet swab in a bowl.

• To irrigate the eye.
• To clean the eye before the procedure.
  
  
  

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• Sterile cotton balls in a container.
• A mackintosh and a towel.

• To dry the eye after procedure.
• To protect bedding and garments.

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• Gloves.
• A kidney tray and paper bag.
• Eye medication if ordered

• To prevent cross infection.
• To receive the waste.

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SOLUTIOS USED

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

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

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

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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.

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• 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.

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• 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.

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• 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.

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• 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.

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• Allow irrigating fluids to flow from the inner
  canthus to the outer canthus.

• To prevent forcing the infection to the
  nasolacrimal duct.

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• 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.

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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.

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• Replace the articles.
• Record the procedure with date and time.

• Provide documentation for nursing action.

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COMPLICATIONS

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

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• Infection to nasolacrimal duct.
• Burns.

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NURSING RESPONSIBILITIES

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

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

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

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

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• 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.

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• THANK YOU