Hospital Decoration

J. H. Burkinshaw
1959 BMJ (Clinical Research Edition)  
BRmT 237 MEDICAL JOURNAL Nasal Drops SIR,-In the commonly recommended method of inserting nasal drops the patient is told to lie with his head over the edge of a bed. To anyone who has tried this it is soon clear that unless the neck is hyperextended (a position which is uncomfortable and difficult to achieve), the drops run along the floor of the nose into the naso-pharynx without reaching the upper nasal cavity. A simple and more satisfactory method is described below for the treatment of
more » ... he treatment of acute or chronic sinusitis, using, in addition to decongestant drops, a solution of dequalinium chloride (" dequadin ") which has been shown to have a wide spectrum of activity against Grampositive and Gram-negative bacteria and some fungi, and is not inactivated by serum.' It has also been shown2 that it does not interfere with ciliary action in quite high concentration. Dequadin nasal drops are not yet available, but a solution made by dissolving one dequadin lozenge in four drachms (14 ml.) of boiled water has been found satisfactory and nonirritant when used as nasal drops in a large number of patients treated in the last 18 months. The following method is employed: The patient is issued with decongestant drops (" tuamine " or "neophryn " have been preferred), 20 dequadin lozenges, and a 4-drachm (14-ml.) nasal drop-bottle. The patient sits on a chair and bends forward with his head right down between his knees, so that the opening of the nostrils is upwards. The decongestant drops are inserted into both nostrils while the patient sniffs gently. While in the same position, the nose is pinched firmly to close both nostrils. The patient then attempts to sniff, giving a series of short, hard sniffs for one or two minutes. The head is then raised and the nose blown. The same procedure is repeated, using enough dequadin drops to fill the nostrils, until the discharge becomes clear. The whole routine is repeated every 2-4 hours during the day. Sniffing between insertion of drops should be avoided as much as possible; when there is a desire to sniff or blow the nose, the patient should first bend down, pinch his nose, and sniff. The procedure described above is also useful when used prophylactically at the beginning of a cold, especially if the patient is prone to sinusitis. The position employed is also used with advantage when inserting antihistamine or steroid drops for allergic rhinitis, ensuring far better distribution in the nasal mucosa than the method of lying over a bed, which is usually advised, or the use of a spray.-We are, etc.,
doi:10.1136/bmj.1.5116.237-a fatcat:lb3envkckzekzn72mrjgwyzw2a