Need some tips with eyedrop administration

  1. New grad in LTC. We give LOTS of eyedrops for glaucoma and Tears for lubrication. The patients who are not as oriented all squeeze their eyes shut as soon as I try to put them in! I have tried pulling lids up, down, etc., the drops still run out! Any tips would be appreciated! Thanks in advance.
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  2. 6 Comments

  3. by   jaimemds
    I usually use my right hand to separate the upper and lower lids and use my left hand to instill the drops. You have to be careful not to apply too much pressure to the lids. And, reassure the resident the the drops might sting at first, but not for long.
  4. by   compassion1
    I've tried putting the drops in the inner canthus. When the pt. opens his eye, it automatically drops in.
  5. by   Elektra6
    Thanks! Both of these techniques seem to work better than what I was doing!:wink2:
  6. by   purplemania
    Pull down lower lid gently. Have patient look up to forehead. Drop med in"sack" you just formed with lower lid. The problem with putting med in inner canthus is that the tear duct is situated there and the med will have a tendency to be absorbed systemically and will not be treating the eye itself. Sometimes I have the patient press gently over the tear duct while we count to three. I can do it for someone else but cannot BEAR drops in my own eye. Go figure.
  7. by   yvonnemuse
    It is a challenge in LTC with resistive clients with eye drop meds. I try the "sneak" method when approaching the very uncooperative. I will wait until they are reclining and call their name just as i squeeze out the first drop and they open eyes in response and the drop goes in. The Pt will usually be awake and resistive after the first drop so I wait and come back if the other eye needs a drop too and repeat.
  8. by   GPatty
    Quote from compassion1
    I've tried putting the drops in the inner canthus. When the pt. opens his eye, it automatically drops in.
    Yep..this is what I do too...works like a charm!

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