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.
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).
DRUGS FOR NOSE ANTIHISTAMINES Indication :- To treat allergic rhinitis Example :i) Cetrizineii) Chlorphinaramine diphenhydramine ( benadryl)
DRUGS FOR NOSE con’tDECONGESTANTS- 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)
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.