Administration should include knowledge of the purpose of nasal medications to treat sinus infections, seasonal allergies, pain, or congestion due to colds.

Administration should include adhering to the following procedures for nasal drops:

Provide for client privacy and explain the procedure.
Verify the medication order for accuracy with the MAR and read the label three times.
Date and initial multi-use containers when opened.
Wash your hands.
Put on gloves.
Make sure the medication is at room temperature.
Instruct the client to gently blow their nose.
Instruct the client to sit or lie down and tilt their head back.
Drop the prescribed number of drops into the client’s nose.
Instruct the client to remain in the same position for a few minutes.
Replace the cap.
Date and initial multi-use containers.
Remove and properly dispose of gloves and wash your hands. Document in the MAR, per facility protocol.

Administration should include adhering to the following procedures for nasal sprays:

Provide for client privacy and explain the procedure.
Verify the medication order for accuracy with the MAR and read the label three times.
Wash your hands.
Put on gloves.
Make sure the medication is at room temperature.
Instruct the client to gently blow their nose before administration, unless contraindicated.
Instruct the client to hold their head upright and slightly tilt the head forward.
Instruct the client to use a finger to close the nostril not receiving medication and to breathe in through the nose and out through the mouth.
Insert the spray nozzle no more than one-quarter inch into the nostril with tip pointed to the back outer side of the nose.
Spray firmly and quickly.
Remove the spray bottle and instruct the client to tilt their head back for several seconds to aid penetration of the medication.
Instruct the client to avoid blowing their nose for 15 minutes.
Replace the cap.
Remove and properly dispose of gloves, if worn, and wash your hands.
Document in the MAR, per facility protocol.

Note: These medications are best if the client administers them, especially the nasal sprays because they require hand/breathing coordination.

Process/Skill Questions:

What are two contraindications for the client blowing their nose prior to and after the administration of nasal drops or sprays?
What reactions might occur with the patient after nasal medication administration?