A practical nurse is assigned to administer prophylactic erythromycin ophthalmic ointment to a neonate who was delivered vaginally 1 hour ago. Arrange the following procedural steps in the correct chronological order from first to last.
- 1Don clean gloves and cleanse any secretions from the neonate's eyes, wiping from the inner to the outer canthus.
- 2Place a thumb and index finger gently against the eyelid margins to retract the lids and expose the lower conjunctival sac.
- 3Apply a continuous ribbon of ointment along the lower conjunctival sac, moving from the inner canthus toward the outer canthus.
- 4Release the eyelids gently, allowing the neonate to blink and close their eyes to distribute the medication.
- 5Wait at least one minute, then use a fresh sterile gauze pad to wipe away excess ointment from the surrounding periorbital skin.
Cevap
The practical nurse should first cleanse the eyes, then gently expose the lower conjunctival sac, apply the ointment from the inner to the outer canthus, allow the neonate's eyes to close to distribute the medication, and finally wait at least one minute before wiping away any excess.
Administering erythromycin ophthalmic ointment requires a strict aseptic and atraumatic sequence. Cleansing the eyes first removes existing debris. Exposing the lower conjunctival sac provides the proper mucosal surface for absorption while avoiding direct trauma to the cornea. Applying the medication from the inner to the outer canthus prevents contamination of the lacrimal duct. Allowing the neonate to blink naturally distributes the ointment across the ocular surface. Finally, waiting before wiping ensures the medication has sufficient contact time with the conjunctiva before the excess is removed.
Adım Adım Çözüm
Anahtar Kavram
Ophthalmic Prophylaxis Administration Sequence