Care for ophthalmology patients

Care for eye health products includes a number of special procedures. Nurse, medical assistant should be able to irrigate eyes, letting eye drops, to enter an ointment to put bandage on the eyes, to measure intraocular pressure, visual acuity, to care for patients undergoing surgery on the eyeball.
When eye drops with a pipette (usually one or two on the mucous membrane of the lower eyelid) offer the patient to look up, moist cotton swab unbend your lower eyelid down; be sure that the pipette tip does not touch the eyes, the eyelids or eyelashes; if the eyedropper touched the eyes, it is necessary to sterilize Especially important execution of this rule in infectious diseases of the eye (trachoma, adenovirus conjunctivitis and other). Before instillation of the eye drops we have to verify their compliance with the assignment (drops with no name on the label cannot be used).
In case of contact with eyes, alkali washing spend 2% solution of boric acid; contact with acid - 2% soda solution, and the abundant washing with a stream of pure water. After washing anaesthetize of 0.5% solution dikaina, turn eyelids, visiting transitional folds of the conjunctiva. When washing the eye to remove the detachable, foreign particles, disinfection mucosa using 2% solution of boric acid; when rinsing usually use a rubber ball. If lavage or cotton swab dipped 2% solution of boric acid, delete caught in the eye of a foreign body (see) fails, it should refer the patient to the doctor.
For laying ointment for ages use glass rod, the patient should look up. The ointment is put on a transitional fold the conjunctiva drawn the lower eyelid, and then offer the patient to close my eyes and this time the stick is removed, pull it out horizontally in the direction of the temple. Then closed eyelids massaged. When assigning powders sleep with their eyes, or dusting the eyes do also with the help of glass rods.
Bandages impose for the protection, warming and create a calm eye usually after surgery for injuries and diseases of the eye. First the closed eyelids put several layers of gauze, then loose layers of wool that it fills the eye socket, and eye tape up. The width of the bandage should be 4x5 see Often limited to only a light bandage, which is placed on the ear lobe obliquely through the eyes and later on those of the opposite sides of the head.
When caring for patients with infectious diseases of the eye is necessary to take measures to prevent the spread of infection. After the procedure, the personnel should wash hands thoroughly with running water and soap, wiping them with a solution furatsilina 1 : 5000 or 70% alcohol. For each patient with an infectious eye disease should have a separate drugs, the eyedropper glass rod and care items. Used cotton balls, bandages, etc. put in closing the drums and then burned.
Nursing prepared for surgery, is the refinement of the behavior of the patient during the operation and after it. The patient is taught to turn the eyeballs in the right direction, down from the table with his eyes closed. Before the operation Bob off eyelashes. Care for patients who had operations on the eyeball, should be especially carefully. After abdominal surgery (opening of the eyes), as a rule, requires strict bed rest, the patient should lie on his back in 2-3 days and more. You should follow such a position of the head of the patient to protect the operated eye. After cataract extraction surgery patient dressings on both eyes. He must lie on his back. The next day, make the dressing, buried drops and again dressings on both eyes. On the third day leave the bandage on one (operated) eye and allow the patient highly lying on the cushions. On the fourth day of the patient with the help of sisters may briefly to get out of bed.
After surgery for detachment retinal the patient should lie on his back, not getting up, 10 days; therefore, before to lay the operated patient, it is necessary to prepare a comfortable bed. After the abolition of strict bed rest nurse helps the patient to sit, as well as in the future to get out of bed. To feed the patient is possible after 6 to 8 hours after surgery, with great caution, making sure it is not choked, as the cough may be negatively affected the state of the operated eye.