Nasal Irrigation
Irrigation of the nasal passages soothes irritated mucous membranes and washes away crusted mucus, secretions, and foreign matter. Left unattended, these deposits may impede sinus drainage and nasal airflow and cause headaches, infections, and unpleasant odors. Irrigation may be done with a bulb syringe or an electronic irrigating device.
Nasal irrigation benefits patients with acute or chronic nasal conditions, including sinusitis, rhinitis, Wegener’s granulomatosis, and Sjögren’s syndrome.1 In addition, the procedure may help people who regularly inhale toxins or allergens-paint fumes, sawdust, pesticides, or coal dust, for example. Nasal irrigation is routinely recommended after some nasal surgeries to enhance healing by removing postoperative eschar and to aid remucosolization of the sinus cavities and ostia.
Contraindications for nasal irrigation may include advanced destruction of the sinuses, frequent nosebleeds, and foreign bodies in the nasal passages (which could be driven farther into the passages by the irrigant). However, some patients with these conditions may benefit from irrigation.
Equipment
Bulb syringe or an oral irrigating device (such as a Water Pik) ▪ rigid or flexible disposable irrigation tips (for one-patient use) ▪ hypertonic saline solution ▪ plastic sheet ▪ towels ▪ facial tissues ▪ bath basin ▪ gloves ▪ hospital-grade disinfectant.
Preparation of Equipment
Warm the saline solution to about 105°F (40.6°C). If you’ll be irrigating with a bulb syringe, draw some irrigant into the bulb and then expel it to rinse any residual solution from the previous irrigation and warm the bulb.
If you’re using an oral irrigating device, plug the instrument into an electrical outlet in an area near the patient. Then, run about 1 cup (240 mL) of saline solution through the tubing to rinse residual solution from the lines and warm the tubing. Next, fill the reservoir of the device with warm saline solution.
Implementation
Verify the doctor’s order.2
Confirm the patient’s identity using at least two patient identifiers according to your facility’s policy.3
Explain the procedure to the patient and answer any questions to decrease anxiety and increase cooperation.
Place a towel on his upper body to protect his clothing from getting wet. Place a plastic sheet on the bed, if indicated.
Have the patient sit comfortably near the equipment in a position that allows the bulb or catheter tip to enter his nose and the returning irrigant to flow into the bath basin or sink. (See Positioning the patient for nasal irrigation, page 484.)Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree