Transcript Intranasal Medication Administration

Intranasal
Medication
Administration
By Candice Laney
TCCC Nursing Instructor
Advantages
 Direct
absorption into the bloodstream
 Intra nasal medications can be absorbed
as quickly as IV administered medications
 Absorption is quicker than subcutaneous
or intramuscular routes.
 Convenient
 Safe route
 Painless
 Does not require sterile tech
Disadvantages
 Limited
medications can be delivered this
route.
 Mucosal health impacts the absorption
Types
 Spray
 Drops
 Tampons
Position for medication
administration
 Spray=
sitting
 Drops= supine with head tilted back
 Tampon= supine or sitting with head tilted
back
Can I delegate this task?
 No
 Administering
nasal medications should
not ever be delegated to assistive
personnel.
Assessment

Which sinus is affected

Client hx of (HTN) hypertension, (CV
Disease)heart disease, diabetes or
hyperthyroidism
Decongestants may produce unwanted side effects, such
as excitation of the central nervous system (e.g., insomnia,
restlessness, agitation), tachycardia, urinary retention, and
elevations in blood pressure


Inspect condition of nose, noting TACO
Ask questions to assess clients understanding
of the nasal instillations and willingness to
learn self administration
Implementation
 Perform
hand hygiene
 Arrange
supplies at bedside
 Apply
gloves
 Instruct
client to clear or blow nose (unless
contraindicated)
 Ensure
proper positioning of client
Implementation
(Positioning)

Position patient for drops; supine head tilted
back to access posterior pharynx

Position patient in a supine position with head
tilted over bed or pillow under shoulders to
reach the ethmoid or sphenoid sinus.

Position patient with head tilted back over
edge of bed or pillow under shoulders and tilt
head to the side to be treated in order to
reach the frontal and maxillary sinus
Implementation





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Support clients head with non-dominant hand
Instruct client to breathe through mouth
Hold dropper ½ inch above nares and instill
the prescribed number of drops
Have client remain in supine position for 5
minutes
Offer facial tissue
Dispose the soiled tissue and remove gloves
and wash hands.
Evaluation
 Observe
client for side effects for 15-30
minutes post instillation
 Re-inspect condition of nasal passages
 Ask client to describe risks of overuse
 Provide education regarding instillation
and side effects
 Ask client to demonstrate self medication
Record and Report
 Record
medication administration on MAR
immediately after administration.(Drug name,
#of drops, which nostril used, and time of
administration)
 If withheld, record reason, circle time and
initial.
 Record client response
 Report any unusual adverse effects and notify
physician