Posted on August 12, 2010.
Info ear irrigation ear irrigation is the process of flushing the external ear canal with sterile water or sterile saline. It is used to treat patients who complain of a foreign body or cerumen (ear wax) impaction. The purpose of ear irrigation is to remove ear wax blocking the ear canal or removing a foreign body lodged in the ear canal. ear irrigation is the most commonly performed on those who experience a buildup of wax that has a hearing impairment and irritated the outer ear canal. ear irrigation is performed in the emergency department as a first line treatment for foreign objects into the ear canal, because it is less invasive than using an instrument. If the object is a living insect, the oil is inserted into the ear to kill the insects, then the ear canal is irrigated to remove dead insects. Some foreign objects can be removed from the ear using irrigation alone, but most require a combination of irrigation and the use of instruments by the physician. The ear canal should be examined with an ear immediately before irrigation of the ear. ear irrigation is not recommended if the eardrum is broken, because the procedure can force bacteria through the perforation of the inner ear. ear irrigation is not used in patients with fever and ear pain, as these symptoms may indicate an infection of the inner ear. If a foreign body is made of plant material (eg, a bean or pea), irrigation is avoided because the water will be to swell and complicate extraction object.prefer attach a large bore IV (intravenous) catheter (with needle removed) to the syringe to facilitate the flow direction. Using this method, the fluid is drawn into the syringe and thrown into the ear canal. Another method uses IV solution and tubing, with an ear irrigation connector disposable suits and more on the external ear. When you use this method, the IV is on and the fluid flows by gravity into the ear to create irrigation. When you use the IV bag should be about 6 inches (15 cm) or less above the patient's head to create the proper fluid pressure. After positioning the patient, the earlobe of the affected ear should take place immediately, and you (and back down to an infant). The tip of the irrigation syringe or catheter must be placed at the entrance of the ear. The tissue of the ear should not be affected. The ear canal should not be obstructed, or if the solution will not be able to run behind the ear. Softly to the flow of irrigation solution to the top of the ear canal, the nurse should syringe or IV fluid run in a slow and steady rate, allowing fluid to escape from the ear and in the basin. If you use a pik dental appliance, the lowest setting should be used. Exerting too much pressure can force the foreign body or obstruction more wax in the ear canal. The return fluid should then be checked before the syringe is filled or after 100cc of fluid for an adult, and 30 cc of fluid for a child. The nurse must consider whether the wax or foreign object has been emptied of the ear. When the obstruction was removed, 500cc liquid irrigation should be used for an adult-100cc for a child, or ordered by the physician. The procedure should be discontinued if the patient complains of pain or dizziness. ear irrigation may be performed using a syringe, 50-60 cc (syringe 20 to 30-cc for children). The complications of ear irrigation are rare, but may include trauma in the ear canal, external ear infection, pain, nausea or dizziness. Irrigation strong high pressure can rupture the eardrum and bacteria existing in the inner ear.