授课题目

Topical  Administration

授课形式

lecture and demonstrate

授课时间

2006、10

授课学时

1 hours

教学目的

与 要 求

Objective：

Teaching students the corrective method of Instilling Ophthalmic Drops

基本内容

1.Objectives of Instilling Ophthalmic Drops

2.Preparation of Instilling Ophthalmic Drops

3. Procedure of Instilling Ophthalmic Drops

重 点

难 点

Corrective method of Instilling Ophthalmic Drops

主要教学

媒 体

power point

主 要 外

语 词 汇

有关本内容的新进展

New method in instilling ophthalmic drips  

国家医学考试网主要参考资料或相关网站

1.姜安丽.护理学基础（英中文版双语教材).北京：人民卫生出版社，2005

2.殷磊.护理学基础.北京：人民卫生出版社，2002

3.Sandraf.Smith,Donnaj.Duell, Barbarac.Martin. Clinical Nursing Skills: Basic to advanced skills. 5^th ed. Prentice-Hall, Inc, 2000

网站：www.100md。com/Html/WestMed/books/053/05305045.htm

系、教研室

审查意见

课后体会

教学内容

时间分配和

媒体选择

§1  Drop-method

  Instilling   Ophthalmic   Drops

Today we are going to learn a new medication administration, that is drop-methed. The drop-methed includes 3 kinds of it.:  first is instilling ophthalmic drops.  second is administering otic medications.  Third is instilling nose drops.

Now lets begin to learn the method of instilling ophthalmic drops.

Objectives

First is objectives. (I think the objectives of instilling ophthalmic drops is simple). There are tow objectives: One. is to prevent and treat the ophthalmocace(eye disease); the other is to be used before and after eye operation.

   Preparation

We know before any procedure of medication administration nurses have to prepare everything well carefully. How to prepare for it before procedure. 

First is the preparation of equipment, equipments are;

Eye medication (in ocumeter container) and

Cotton ball or tissue

Second preparation is for procedure, there are several steps

1.   Obtain patients medication record.(medication record may be a drug card, medication sheet) 

Remember to compare the medication record with physicians order. Rational is safety check

2.   Wash your hands.

3.   Take the medication from the drug box on medication trolley.

 And also remember to compare the label on the medication bottle to the medication record for safety check.

4.   Gather necessary equipment.

    Procedure

After the preparations the nurse takes medication to patients room. Now the procedure : 

1.   1. To check patients bed number against medication record、and also check patients identaband, then ask patient to state name. All these you do just for safety check. Do you know identaband?identaband is a band wear around the wrist ,on the band there are bed number and patient’s name.

2.   2. To explain procedure to patient. You know that is necessary.

3.   3. To wash医.学全在线www.med126.com your hands. That is for prevention of cross-contamination.

4.   4. To tilt patients head slightly backward and ask patient to look up. Rational is the cornea is protected as patient looks up.

5.   5. Uncap ocumeter, placing cap on its side

15 6. Give tissue to patient for wiping off excess medication.

15 7. Place ocumeter container1/2~3/4 inch(1~2cm) above eyeball with dominant hand

Rational: this position reduces risk of ocumeter container touching eyeball and causing injury.

8.Stabilize hand holding ocumeter container as necessary. Place nondominant hand on cheekbone and hand holding ocumeter container on top

9. Expose lower conjunctival sac (sauk) by pulling down on cheek, creating a “cup”

10.Drop prescribed number of drops into center of conjunctival sac.

Remember: not to place medication directly on cornea. That could cause injury to cornea.

11 .Ask patient to gently close eyelids and move eyes.

Rationale is it can distribute solution over conjunctival surface and anterior eyeball.

12.presse lacrimal sac for 1~2min.rationale is to avoid eye medication flow to nasolacrimal duct and nasol cavity.

Very gently massage closed lid for patient who cannot cooperate(e.g,comatose).

13. Remove excess medication with tissue

14. Wash your hands

15 .Replace medication in appropriate place

summary:   whole  contents

Lecture

ppt

2min

lecture

ppt

4min

ppt

pictures

10min

Lecture

Ppt

 Pictures

Demonstrate

20min

4min