Ch.10 Drugs used in ophthalmic and otic disorders Flashcards

1
Q

The ocular system is comprised of the _ and _

A

eyes and adnexa

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2
Q

Globe consists of

A

globe, choroid, retina

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3
Q

Adnexa consists of the surrounding structures:

A

orbit, eye muscles, eyelids, eyelashes, conjunctiva, and lacrimal apparatus

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4
Q

common ophthalmic disease

A

ulcerative keratitis
uveitis
glaucoma
KCS
conjunctivitis

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5
Q

Ophthalmic drugs must be absorbed into the _ chamber

A

anterior

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6
Q

Examples of topical anesthetics _ and _ are used to help perform comprehensive eye exams or removal of foreign material from the eye

A

proparacaine and tetracaine

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7
Q

_ _ is applied to the cornea (using sterile saline_ to assess any corneal defects (the stain is orange until it adheres to a corneal defect, where it appears green)

A

Fluorescein sodium

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8
Q

What do miotics do to the pupil

A

constrict it

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9
Q

Miotics are used to tx

A

open-angle glaucoma by increasing the outflow of aqueous humor (decreasing intraocular pressure)

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10
Q

Example of commonly used miotics

A

pilocarpine

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11
Q

What mydriatics do to the pupil

A

dilate it

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12
Q

Cycloplegics _ the ciliary muscles and minimize pain

A

paralyze

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13
Q

Examples of mydriatics

A

atropine, homatropine, phenylephrine, tropicamide, epinephrine

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14
Q

Carbonic anhydrase inhibitors decrease _ _ production

A

aqueous humor

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15
Q

Examples of carbonic anhydrase inhibitors

A

acetazolamide, dorzolamide, dichlorphenamide, and methazolamide

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16
Q

How do beta-adrenergic blockers affect production of aqueous humor

A

decrease

17
Q

Examples of beta-adrenergic blockers

A

timolol and betazolol

18
Q

_ are diuretics that decrease vitreous humor volume to rapidly decrease intraocular pressure

A

osmotics

19
Q

Examples of osmotics

A

mannitol and glycerin

20
Q

Drugs used to tx uveitis

A

flurbiprofen ophthalmic, tx underlying condition

21
Q

Examples of drugs used to tx KCS

A

-Artificial tears
-Antibiotic steroid tx
-Immunomodulators such as cyclosporine

22
Q

Tx of ulcerative keratitis (corneal ulceration)

A

Anti-infective opthalmic drops/ointment (bacitracin, neomycin, polymyxin, erythromycin, etc.)

Serum

Atropine sulfate (cycloplegic)

23
Q

Other drugs used to tx ocular disease

A

Antibiotics
Antifungals
Antivirals
Corticosterioids
NSADIS

24
Q

Side effects of otitis interna

A

head tilt toward infected side, ataxia, nausea, vomiting

25
Q

Drug combos used in otic tx

A

antibiotics
antiparasitics
antifungals
corticosteroids w/ anti-invectives
otic drying, cleansing, and dewaxing agents