Display 241 Inserting the Pilocarpine Ocular System

1. Wash hands and put on gloves. Press the disk with the fingertip until it remains on the finger as shown.

Pull Conjunctiva

2. Have the patient look up. Pull the lower conjunctiva away from the eye and gently place the disk in the lower conjunctival sac. The disk should float on the sclera.

3. Pull the lower conjunctiva over the disk. Check for correct position. The disk should not be visible. If the disk is still seen, the eyelid must be repositioned by pulling the lower conjunctiva out and over the disk again.

4. Use gloves when removing the disk. Pull the lower eyelid down and use the thumb and first finger of the free hand to lift the disk out of the eye as shown.

(Adapted from Nursing94, June, Intraocular Drug Administration, pp. 44-45, which was adapted from Giving drugs by advanced techniques [1993]. Springhouse, PA: Springhouse Corp.)

Patient and Family

Teaching Checklist

DIARRHEA. When these drugs are used orally they occasionally result in excessive salivation, abdominal cramping, flatus, and sometimes diarrhea. The patient is informed that these reactions will continue until tolerance develops, usually within a few weeks. Until tolerance develops, the nurse ensures that proper facilities, such as a bedside commode, bedpan, or bathroom, are readily available. The patient is encouraged to ambulate to assist the passing of flatus. If needed, a rectal tube may be used to assist in the passing of flatus. The nurse keeps a record of the fluid intake and output and the number, consistency, and frequency of stools if diarrhea is present. The primary health care provider is informed if diarrhea is excessive because this may be an indication of toxicity.

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