drug therpay for eye disorders

Question 1

effect of timolol maleate

Answer 1

it reduces aqueous humor production and outflow

Question 2

adverse effect of timolol maleate

Answer 2

burning and stinging

Question 3

Nursing implications for timolol maleate

Answer 3

Invert and shake bottle
wait 10 min if you need to give another med or wait 10 min to give tim if you have given another med.
remove contact before adminsitration and wait 15 minuted before putting them back on

Question 4

contraindications for tim

Answer 4

respiratory issues- asthma, COPD. cardeogenic shock, dysrhythmia,

Question 5

herbal interactions with TIM

Answer 5

GARLIC, ginger, ginseng, goldenseal and nettle -> increases effect of timolol maleate

Question 6

What class is bromidine

Answer 6

alpha 2 adrenergic agonist

Question 7

what does bromidine does

Answer 7

reudces aqeous humor and increases uveoscleral outflow

Question 8

AE of bromidine

Answer 8

cardiac-hTn, tachycardia. hOtN, bradycardia

Question 9

AE of bromidine

Answer 9

CNS- decreased alertness, insomnia, HA, dizziness

Respiratory- cough, apnea, sinuitis, dyspnea

Question 10

AE of bromidine

Answer 10

Ocular- blepharitis, conjuctival edema/ hemorrhage, dryness, irritation and pain.

Question 11

contra for bromidine

Answer 11

advanced cardiac disease

DO NOT USE WITH MAOI

Question 12

nursing implications for bromidine

Answer 12

check BP, HR, RR

CNS DEPRESSION

Question 13

what does lidocaine does

Answer 13

it blocks nerve impulse during procedure like tonometry, surgery or goneoscopy to produce anesthetic during said procedure

Question 14

AE of lidocaine

Answer 14

burning, conjuctival hyperemia, vision changes

Question 15

nursing implications for lidocaine

Answer 15

do not give if solution is crystalized
assess lens opacity and loss of vision for prolonged use
Onset is 20 sec- 5 minute and can last up to 30 minutes.

Question 16

Atropine sulfate onset

Answer 16

anticholinergic that has an onset of 5-10 minutes

Question 17

how doe satropine sulfate works?

Answer 17

it blocks acetycholine action in the CNS to dilate the pupils and allow for better view.

Question 18

adverse effect of atropine

Answer 18

stinging

Question 19

contraindications for atropine use

Answer 19

glaucuoma(because atropine increase intra ocular pressure), hypersensitivity

Question 20

nursing implications for atropine use

Answer 20

give 1 hour before opthalmic exam
apply pressure to lacrimal sca for 1-2 min
tell pt that pain, stinging, Blurry vision, sensitivity migh occur
do not give to patient whose vision is impaired
wear sun glasses for light sensitivity

Question 21

Ciproflaxan used for

Answer 21

an antibacterial used for corneal ulcers and bacterial conjuctivitis

Question 22

adverse effect of ciproflaxen

Answer 22

hypersensitvity

superinfection

Question 23

nurisng implications for ciproflaxen

Answer 23

use topically only.
do not wear contact during therpay
assess conjuctival redness and drainage