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TROLLEY PREPARATION FOR  EAR, NOSE AND THROAT      EXAMINATION        Free Powerpoint Templates
ENT EXAMINATIONPurpose:To detect any abnormalities ofear, nose and throat.
ANATOMY OF EAR
EQUIPMENTS FOR EAR   EXAMINATION
HEAD LIGHT Used to get clear vision of the ear canal or  ENT procedure.
TUNING FORK• To determine whether a  hearing loss is conductive or  perceptive.• Can be Weber test or Rinne  test.
OTOSCOPE To examines the auditory canal and tympanic membrane for infection or blockage due to the presence of a foreign o...
AURALSPECULUM A cone or funnel shaped attachment for an otoscope which is inserted into the ear canal to examine the eardr...
ZOELLNERSUCKER• used for suction in  middle ear.
CROCODILEFORCEP• To remove foreign body  from ear, nose, throat  (ENT) procedure.
JOBSON-HORNE PROBEused for removal of wax and cleaning of ears.
ANATOMY OF NOSE
EQUIPMENTS FOR NOSE   EXAMINATION
J - SUCKER Used for removal of crust at nose or discharge at  opening ears.
THUDICUM NASAL SPECULUM•   Used for visualization of external nose.
VIENNA NASALSPECULUMused in:• Anterior nasal packing• Septoplasty• Removal nasal foreign body   and rhinolith (calculus   ...
RIGID SCOPEThis exam allows a completeand detailed visualization ofall nasal mucosa, nasalturbinates, openings into thesin...
FLEXIBLESCOPE• To help examine places  that are hard to reach.
TILLEY FORCEP• To perform anterior nasal packing.• To remove foreign bodies, crusts or  packs from the nose.• To pack the ...
SINUS FORCEP Used for removing or inserting  dressing packs.
ANATOMY OF THROAT
EQUIPMENTS FOR THROAT     EXAMINATION
To suppress the tongue to allow for examination of the mouth and throat
LACK’S SPATULA Airway patency can be tested by  placing a cold Lacks depressor  underneath and asking the  patient to exh...
Pentorch           Glove
LARYNGEALMIRRORFor oral examinations.
POSTERIORLARYNGEALMIRROR / PNSMIRROR For posterior rhinoscopy (seeingthe inner parts of the nose like thechoanae)
FLEXIBLE SCOPE To help examine places that are hard to reach.
WHAT IS OTOTOXIC DRUG Medications that can damage the ear, resulting in hearing loss, ringing in the ear, balance disorde...
WHAT IS OTOTOXICITY Ototoxicity is damage to the hearing or balance  functions of the ear by drugs or chemicals. Ototoxi...
DRUG CAN CAUSEOTOTOXITY :1. Antibiotics streptomycin neomycin gentamicin (Garamycin) erythromycin (E-Mycin, Eryc) kan...
CONT2. Anti-cancer drugs cisplatin (Platinol AQ) bleomycin (Blenoxane) vincristine (Oncovin)
CONT3. Diuretics acetazolamide (Diamox) furosemide (Lasix) bumetanide (Bumex) ethacrynic acid (Edecrine)
CONT4. CARDIOVASCULAR AGENTS Captopril Digitalis Guanfacine Metroprolol Minoxidil (also for alopecia) Quinidine Toc...
ENT MEDICATION
OTIC/EAR AGENT
OTIC/EAR AGENT ANTIBIOTIC LOCAL ANALGESICS STEROIDS WAX EMULSIFIERS
ANTIBIOTIC Indication :- To reduce the inflammation & itching associated with  ear infection.
ANTIBIOTIC con’t Example :i) Neomycinii) Ciprofloxacin (Cetraxal)iii) Ofloxacin (Floxcin Otic)iv) Gentamycinv)Gramicidinv...
LOCAL ANASTHETICS Inducation-To reduce pain in the ear. EXAMPLE:i)Benzocaine (Americaine Otic and Otocain) ii)Pramoxine
STEROID Indication :-To treat inflammation of the skin of the ear canal. Example:i)Hydrocortisoneii)Dexamethasone (Dexas...
WAX EMULSIFIER(CERUMENOLYTIC) Indication : Loosen and remove impacted cerumen(ear wax) EXAMPLE:i)Carbamide peroxide (De...
COMBINATION OF EARDROP Indication :-To treat multiple aspects of otitis media or otitis externa (anti-  inflammatory , an...
Combination Ear Drops (cont..)  B)Antibiotic and Steroid :  Chloroxylenol/hydrocortisone/pramoxine (Brand name:   Aero O...
DRUGS FOR NOSE
DRUGS FOR NOSE ANTIHISTAMINES Indication :- To treat allergic rhinitis Example :i)  Cetrizineii) Chlorphinaramine diphe...
DRUGS FOR NOSE con’tDECONGESTANTS- Commonly used for their ability to shrink engorged  nasal mucus membrane & relieve nas...
EXAMPLE OF DECONGESTANTDRUG  1) Nasal prophylaxis :     Budesonide (Pulmicort Tubuhaler, Rhinocort)  2) Treatment of se...
DRUGS FOR THROAT
DRUGS FOR THROATANTITUSSIVES Indication :- To stop cough reflex whe the cough is non productive  or harmful.- Reduce run...
Example of Drugs1) Codeine (Opoid Antitussives)2) Dextromethor (Non-opoid Antitussive)3) Hydrocodone (Hycodan)
EAR DROP   Also known as otic drop.   It is liquid medicine administered into the ear.   Must be discard after 30 days ...
OTIC AGENTS: Antibiotics Antifungals Anti-inflammatory agents Wax emulsifiers Local analgesics
ANTIFUNGAL AND          ANTIBACTERIA Indication: treatment of superficial infections of the external auditory canal cause...
ANTIBIOTIC AND STEROIDCOMBINATION Indication: to reduce the inflammation and itching associated with ear infection. E.g:...
WAX EMULSIFIER To soften the ear wax / cerumen. Contraindication:  -Otitis external  -Dermatitis  -Perforated ear drum ...
EQUIPMENT   Tray   Cotton buds   Sterile galipot   Normal saline   Ear drop as prescribe   Receiver (kidney dish)  ...
TECHNIQUE> Adult  - Pull upward and backward.> Child  - Pull downward and backward..
IMPLEMENTATION1. Greet and explain clearly about theprocedure to the client.   - Purpose of instillation2. Ask for client’...
Con’t…4. Position the client lie in the bed on unaffectedear.5. Clean the ear using swab sticks moistened withnormal salin...
Con’t…7. Pull ear upward and backward foradult, downward and backward for children.8. Hold tip of the bottle 1cm directly ...
Con’t…10. Apply tragus pressure lightly.11. Make sure client still in this position at least 3-5minute.12. Clean the equip...
Ent trolley n drug
Ent trolley n drug
Ent trolley n drug
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ear nose throat(ENT) examination and drugs

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Transcript of "Ent trolley n drug"

  1. 1. TROLLEY PREPARATION FOR EAR, NOSE AND THROAT EXAMINATION Free Powerpoint Templates
  2. 2. ENT EXAMINATIONPurpose:To detect any abnormalities ofear, nose and throat.
  3. 3. ANATOMY OF EAR
  4. 4. EQUIPMENTS FOR EAR EXAMINATION
  5. 5. HEAD LIGHT Used to get clear vision of the ear canal or ENT procedure.
  6. 6. TUNING FORK• To determine whether a hearing loss is conductive or perceptive.• Can be Weber test or Rinne test.
  7. 7. OTOSCOPE To examines the auditory canal and tympanic membrane for infection or blockage due to the presence of a foreign object or build up of wax.
  8. 8. AURALSPECULUM A cone or funnel shaped attachment for an otoscope which is inserted into the ear canal to examine the eardrum.
  9. 9. ZOELLNERSUCKER• used for suction in middle ear.
  10. 10. CROCODILEFORCEP• To remove foreign body from ear, nose, throat (ENT) procedure.
  11. 11. JOBSON-HORNE PROBEused for removal of wax and cleaning of ears.
  12. 12. ANATOMY OF NOSE
  13. 13. EQUIPMENTS FOR NOSE EXAMINATION
  14. 14. J - SUCKER Used for removal of crust at nose or discharge at opening ears.
  15. 15. THUDICUM NASAL SPECULUM• Used for visualization of external nose.
  16. 16. VIENNA NASALSPECULUMused in:• Anterior nasal packing• Septoplasty• Removal nasal foreign body and rhinolith (calculus present in the nasal cavity).
  17. 17. RIGID SCOPEThis exam allows a completeand detailed visualization ofall nasal mucosa, nasalturbinates, openings into thesinuses, and nasopharynx.
  18. 18. FLEXIBLESCOPE• To help examine places that are hard to reach.
  19. 19. TILLEY FORCEP• To perform anterior nasal packing.• To remove foreign bodies, crusts or packs from the nose.• To pack the nose with gauze strips during nasal surgeries or sinus surgeries.• To remove cartilage and bone pieces during septoplasty
  20. 20. SINUS FORCEP Used for removing or inserting dressing packs.
  21. 21. ANATOMY OF THROAT
  22. 22. EQUIPMENTS FOR THROAT EXAMINATION
  23. 23. To suppress the tongue to allow for examination of the mouth and throat
  24. 24. LACK’S SPATULA Airway patency can be tested by placing a cold Lacks depressor underneath and asking the patient to exhale To depress the tongue
  25. 25. Pentorch Glove
  26. 26. LARYNGEALMIRRORFor oral examinations.
  27. 27. POSTERIORLARYNGEALMIRROR / PNSMIRROR For posterior rhinoscopy (seeingthe inner parts of the nose like thechoanae)
  28. 28. FLEXIBLE SCOPE To help examine places that are hard to reach.
  29. 29. WHAT IS OTOTOXIC DRUG Medications that can damage the ear, resulting in hearing loss, ringing in the ear, balance disorders and deaf.
  30. 30. WHAT IS OTOTOXICITY Ototoxicity is damage to the hearing or balance functions of the ear by drugs or chemicals. Ototoxic drugs may cause lack of hearing, and loss of sense of balance.
  31. 31. DRUG CAN CAUSEOTOTOXITY :1. Antibiotics streptomycin neomycin gentamicin (Garamycin) erythromycin (E-Mycin, Eryc) kanamycin (Kantrex) tobramycin (Nebcin) netilmycin (Netromycin) vancomycin (Vancocin)
  32. 32. CONT2. Anti-cancer drugs cisplatin (Platinol AQ) bleomycin (Blenoxane) vincristine (Oncovin)
  33. 33. CONT3. Diuretics acetazolamide (Diamox) furosemide (Lasix) bumetanide (Bumex) ethacrynic acid (Edecrine)
  34. 34. CONT4. CARDIOVASCULAR AGENTS Captopril Digitalis Guanfacine Metroprolol Minoxidil (also for alopecia) Quinidine Tocainide
  35. 35. ENT MEDICATION
  36. 36. OTIC/EAR AGENT
  37. 37. OTIC/EAR AGENT ANTIBIOTIC LOCAL ANALGESICS STEROIDS WAX EMULSIFIERS
  38. 38. ANTIBIOTIC Indication :- To reduce the inflammation & itching associated with ear infection.
  39. 39. ANTIBIOTIC con’t Example :i) Neomycinii) Ciprofloxacin (Cetraxal)iii) Ofloxacin (Floxcin Otic)iv) Gentamycinv)Gramicidinvi) Nystatinvii) Framycetin
  40. 40. LOCAL ANASTHETICS Inducation-To reduce pain in the ear. EXAMPLE:i)Benzocaine (Americaine Otic and Otocain) ii)Pramoxine
  41. 41. STEROID Indication :-To treat inflammation of the skin of the ear canal. Example:i)Hydrocortisoneii)Dexamethasone (Dexasol)iii)Fluocinolone acetonide (Dermotic Oil Ear Drops).
  42. 42. WAX EMULSIFIER(CERUMENOLYTIC) Indication : Loosen and remove impacted cerumen(ear wax) EXAMPLE:i)Carbamide peroxide (Debrox)ii)Triethanolamine polypeptide oleate (Cerumenex)
  43. 43. COMBINATION OF EARDROP Indication :-To treat multiple aspects of otitis media or otitis externa (anti- inflammatory , anti-pruritic,anti-allergic)Example: A) Combination of Antipyrine and Benzocaine (Brand names: Antiben, Auralgan,Otocalm).
  44. 44. Combination Ear Drops (cont..)  B)Antibiotic and Steroid :  Chloroxylenol/hydrocortisone/pramoxine (Brand name: Aero Otic HC, Cortamox)  Chloroxylenol/pramoxine (Brand Name: Pramotic, Uni-Otic)  Hydrocortisone/neomycin/polymyxin B (Brand Names: Cortisporin Otic)  Ciprofloxacin/dexamethosone (Brand Name: Ciprodex).
  45. 45. DRUGS FOR NOSE
  46. 46. DRUGS FOR NOSE ANTIHISTAMINES Indication :- To treat allergic rhinitis Example :i) Cetrizineii) Chlorphinaramine diphenhydramine ( benadryl)
  47. 47. DRUGS FOR NOSE con’tDECONGESTANTS- Commonly used for their ability to shrink engorged nasal mucus membrane & relieve nasal stiffness. Indication :- Acute & chronic rhinitis , common cold- Sinusitis , fever & other allergies
  48. 48. EXAMPLE OF DECONGESTANTDRUG  1) Nasal prophylaxis :  Budesonide (Pulmicort Tubuhaler, Rhinocort)  2) Treatment of seasonal & perennial allergic rhinitis :  Nasacort (Trimcinolone)  3) Bronchodilator:  Atrovent (Ipratropium)  4) Nasal congestion and as adjunct for sinusitis :  Naphazoline (Privine)
  49. 49. DRUGS FOR THROAT
  50. 50. DRUGS FOR THROATANTITUSSIVES Indication :- To stop cough reflex whe the cough is non productive or harmful.- Reduce runny nose & postnasal drip.
  51. 51. Example of Drugs1) Codeine (Opoid Antitussives)2) Dextromethor (Non-opoid Antitussive)3) Hydrocodone (Hycodan)
  52. 52. EAR DROP Also known as otic drop. It is liquid medicine administered into the ear. Must be discard after 30 days once open. Do not share ear drop: 1 medication 1 patient.
  53. 53. OTIC AGENTS: Antibiotics Antifungals Anti-inflammatory agents Wax emulsifiers Local analgesics
  54. 54. ANTIFUNGAL AND ANTIBACTERIA Indication: treatment of superficial infections of the external auditory canal caused by organisms. Side effects: burning, redness, rash, swelling and other sign of topical irritation E.g: chloramphenicol & gentamycin
  55. 55. ANTIBIOTIC AND STEROIDCOMBINATION Indication: to reduce the inflammation and itching associated with ear infection. E.g: pramoxine, benzalkonium chloride,
  56. 56. WAX EMULSIFIER To soften the ear wax / cerumen. Contraindication: -Otitis external -Dermatitis -Perforated ear drum E.g: Carbamide peroxide.
  57. 57. EQUIPMENT Tray Cotton buds Sterile galipot Normal saline Ear drop as prescribe Receiver (kidney dish) MOAR Cotton ball
  58. 58. TECHNIQUE> Adult - Pull upward and backward.> Child - Pull downward and backward..
  59. 59. IMPLEMENTATION1. Greet and explain clearly about theprocedure to the client. - Purpose of instillation2. Ask for client’s name and date ofbirth, compare with client’s ID tag.3. Check doctor’s prescription. - Choose correct ear drop and check withthe prescription.
  60. 60. Con’t…4. Position the client lie in the bed on unaffectedear.5. Clean the ear using swab sticks moistened withnormal saline.6. Check ear drop medication with 8 R.
  61. 61. Con’t…7. Pull ear upward and backward foradult, downward and backward for children.8. Hold tip of the bottle 1cm directly abovemeatus.9. Instill the ear drops.
  62. 62. Con’t…10. Apply tragus pressure lightly.11. Make sure client still in this position at least 3-5minute.12. Clean the equipment.13. Document administration of medication.
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