Many ear disorders may be treated
with ear drops, including middle ear
infections,swimmer's ear, excessive ear
wax, pain,
swelling and more. No matter what they are for, they will not work (or at least
not well) if they are not given correctly.
Giving ear drops is at least a two-person job. It
is almost impossible to give ear drops to yourself and put them in at the
correct angle. It's also difficult if you are using ear drops on a reluctant
child.
Before we talk about the procedure, there are a few
things you should know. Extreme caution should be used when using ear drops on
someone who has recently had ear surgery (especially
synthetic ear tubes placement
or a tympanoplasty)
or who has a ruptured ear
drum. A ruptured ear drum happens when pressure or a sharp object
inserted in the ear makes a hole in the ear drum.
Symptoms of a ruptured ear drum include pain, ear drainage,
or hearing a popping noise followed by a cessation of pain and pressure. You
may also notice some drainage from the ear, along with a noticeable difference
in your ability to hear after the ear drum ruptures.
If the ear drum is impaired in any way, ear drops
can make their way directly into the inner ear and
damage the delicate structures there, even causing hearing loss in some
cases. There are special antibiotics that can be used if your ear drum is not
intact, but they must be prescribed by a doctor.
If you suspect you have a ruptured ear drum, you
should never use home remedies to
treat or prevent
swimmer's ear (such as vinegar, alcohol, hydrogen peroxide, or
oil). Over-the-counter drops used to dissolve ear wax should also be avoided.
If you have been prescribed ear drops and your ear drum ruptures later on, call
your doctor right away.
What You'll Need
1. The ear drops,
which should be at room temperature. Ear drops that are the wrong temperature
(too cold, for instance) can make you feel dizzy and disoriented.
2. A towel to place
under the head because some of the ear drops may come back out of the ear.
3. Someone to assist
you.
Before Starting
1. Read the
instructions on the bottle carefully so you know how many drops to put in and
whether you're putting them in one or both ears. Always follow your doctor's instructions.
2. Inspect the drops
and check the expiration date. If they appear contaminated or are expired,
don't use them.
Position and Give
Drops
For Adults and Teenagers:
- Fold
the towel in half and lay it out on the floor. Have the person receiving
the drops lay down on their side, with their head on the towel, affected
ear up. The person giving the drops should kneel or sit beside them.
- Gently
pull the ear lobe out and up to straighten the auditory
tube, and carefully put the number of drops prescribed into the
ear one at a time.
- Gently
push on the ear flap, or if your doctor has instructed you to do so, put a
cotton ball in the ear to plug it.
- The
person receiving the drops should remain in this position for several
minutes after the drops are instilled so that as much of the medication
has a chance to coat the ear canal as possible.
- If
the doctor has instructed drops to be put in both ears, the person can lay
down on the opposite side and the process should be repeated as outlined
above.
For Children:
- Giving
drops to young children who are unable to hold still while the drops are
put in may require a third person. Fold a clean towel and place it on the
floor, and have the child lay down with their head on the towel, affected
ear up.
- If
necessary, an adult should gently place their hands on both sides of the
head to keep the child from sitting up suddenly or turning their head from
side to side.
- The
person who is administering the drops should kneel beside the child.
- Pull
the ear lobe out and down to straighten
the Eustachian
(auditory) tube.
- Give
the correct number of drops one at a time.
- Gently
push on the flap of the ear or place a cotton ball inside of the ear to
plug it.
- The
child should remain in this position for a few minutes so that the
medication can coat as much of the ear as possible.
- Repeat
on the other ear if necessary.
For Infants and Toddlers:
- Infants
can be swaddled with a blanket (arms in). This not only keeps them still
while you administer the drops, but also comforts them. You will still
need another person to gently hold their head. A clean towel can be placed
under their head, or keep one handy to wipe away any excess medication.
- Toddlers
can be held. The best way is to cradle them in your lap while sitting in a
reclining chair or lying in bed. The person holding them should gently
hold the toddler's head against their chest while the drops are given.
Arms should be restrained to keep the child from grabbing their ears or
the bottle of drops.
- The
person giving the drops should softly pull the ear lobe out and down to
straighten the auditory tube.
- Carefully
give the correct number of drops prescribed, counting each drop one by
one.
- Close
ear flap or place a cotton ball in the ear canal.
- Remain
in this position for as long as possible to allow the medication to coat
the ear canal (up to a few minutes is best, but this may be too
distressing for some infants or toddlers).
After Giving Ear
Drops
- Beware
the signs of an allergic
reaction (burning, itching, redness, swelling, difficulty
breathing), and call a health care professional immediately if you suspect
one.
- Call
your doctor if your condition gets worse after using the ear drops for a
couple days.
- Call
your doctor with any significant, negative changes in your condition.
- Call
your doctor or pharmacist if you have questions about the specific
medication you are receiving and its side
effects.
Source:
Medline Plus. Ciprofloxacin andDexamethasone Otic. Accessed: August 20, 2011 from
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