Ent trolley n drug
Upcoming SlideShare
Loading in...5
×
 

Ent trolley n drug

on

  • 2,789 views

ear nose throat(ENT) examination and drugs

ear nose throat(ENT) examination and drugs

Statistics

Views

Total Views
2,789
Views on SlideShare
2,784
Embed Views
5

Actions

Likes
1
Downloads
42
Comments
0

1 Embed 5

http://www.slashdocs.com 5

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Ent trolley n drug Ent trolley n drug Presentation Transcript

  • 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 object or build up of wax.
  • AURALSPECULUM A cone or funnel shaped attachment for an otoscope which is inserted into the ear canal to examine the eardrum.
  • 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 present in the nasal cavity).
  • RIGID SCOPEThis exam allows a completeand detailed visualization ofall nasal mucosa, nasalturbinates, openings into thesinuses, and nasopharynx.
  • 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 nose with gauze strips during nasal surgeries or sinus surgeries.• To remove cartilage and bone pieces during septoplasty
  • 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 exhale To depress the tongue
  • 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 disorders and deaf.
  • 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.
  • DRUG CAN CAUSEOTOTOXITY :1. Antibiotics streptomycin neomycin gentamicin (Garamycin) erythromycin (E-Mycin, Eryc) kanamycin (Kantrex) tobramycin (Nebcin) netilmycin (Netromycin) vancomycin (Vancocin)
  • 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 Tocainide
  • 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)Gramicidinvi) Nystatinvii) Framycetin
  • 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 (Dexasol)iii)Fluocinolone acetonide (Dermotic Oil Ear Drops).
  • WAX EMULSIFIER(CERUMENOLYTIC) Indication : Loosen and remove impacted cerumen(ear wax) EXAMPLE:i)Carbamide peroxide (Debrox)ii)Triethanolamine polypeptide oleate (Cerumenex)
  • 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).
  • 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).
  • DRUGS FOR NOSE
  • DRUGS FOR NOSE ANTIHISTAMINES Indication :- To treat allergic rhinitis Example :i) Cetrizineii) Chlorphinaramine diphenhydramine ( benadryl)
  • 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
  • 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)
  • DRUGS FOR THROAT
  • DRUGS FOR THROATANTITUSSIVES Indication :- To stop cough reflex whe the cough is non productive or harmful.- Reduce runny nose & postnasal drip.
  • 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 once open. Do not share ear drop: 1 medication 1 patient.
  • OTIC AGENTS: Antibiotics Antifungals Anti-inflammatory agents Wax emulsifiers Local analgesics
  • 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
  • ANTIBIOTIC AND STEROIDCOMBINATION Indication: to reduce the inflammation and itching associated with ear infection. E.g: pramoxine, benzalkonium chloride,
  • WAX EMULSIFIER To soften the ear wax / cerumen. Contraindication: -Otitis external -Dermatitis -Perforated ear drum E.g: Carbamide peroxide.
  • EQUIPMENT Tray Cotton buds Sterile galipot Normal saline Ear drop as prescribe Receiver (kidney dish) MOAR Cotton ball
  • 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’s name and date ofbirth, compare with client’s ID tag.3. Check doctor’s prescription. - Choose correct ear drop and check withthe prescription.
  • 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.
  • 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.
  • 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.