Exam 2 Eye stuff

Question 1

What does atropine do?

Answer 1

dilates pupils

Question 1

What is atropine used for?

Answer 1

prevent accomodation at eye doctor

Question 2

What is a side effects of atropine?

Answer 2

local stinging

Question 3

What is atropine contrainidicated with?

Answer 3

glaucoma

Question 4

What education is important for atropine?

Answer 4

dilating will get better with time
wear sunglasses

Question 5

What is timolol used for?

Answer 5

open angle glaucoma
ocular HTN

Question 6

What does timolol do?

Answer 6

blocks beta receptors to reduce IOP

Question 7

What is timolol contraindicated with?

related to heart and lungs

Answer 7

asthma
COPD
HF
bradycardia

Question 8

What is manntiol used for?

Answer 8

closed angle glaucoma

Question 9

What are side effects of mannitol?

Answer 9

hyperosmolar nonketoic coma
confusion
headache
syncope
cardiac dyrhthmias
nausea
vomiting
severe dehydration

Question 10

What do we monitor with mannitol?

Answer 10

fluid electrolytes
dehydration
BP
pulse
RR
hyperglycemia
breath sounds
pupil reflex

Question 11

What is glaucoma?

Answer 11

changes in visual fields caused by optic nerve damage and increased IOP

Question 12

What ist he avg IOP?

Answer 12

15-16

Question 13

What is the normal IOP?

Answer 13

less than 21

Question 14

What is a major risk for glaucoma?

Answer 14

IOP greater than 21

Question 15

What are characteristics of open-angle glaucoma?

Answer 15

develops slowly
increase in IOP
life-long
most common
irreversible

Question 16

What are the s/s of open angle glaucoma?

Answer 16

gradual loss of vision with little symptoms at start

Question 17

What is the treatment for open glaucoma?

Answer 17

timolol

Question 18

What are characteristics of closed-angle glaucoma?

Answer 18

sudden rise in IOP; rapidly
Requires immediate medication
less common
reversible

Question 19

What are s/s of closed-angle glaucoma?

Answer 19

halos around lights
brow pain
nausea
blurred vision
photophobia

Question 20

What is the treatment for closed angle glaucoma?

Answer 20

mannitol

Question 21

T or F, you can wear contacts and instill eye drops?

Answer 21

F, you have to remove them

Question 22

How long do you wait between different eye drops?

Answer 22

5-10 minutes

Question 23

T or F, it is okay to touch the tip of the dropper to the eye or surrounding tissue

Answer 23

False; you can contaminate the dropper

Question 24

What education would you provide regarding eye drops?

Answer 24

shake well
don’t rub eyes
for systemic absorption; apply pressure over tear duct

Question 25

What patient teaching would you provide regarding eye health

Answer 25

avoid long periods of reading and ocmputer work
minimize exposure to eye irritants
Don’t use non prescription eye drops (visine) for longer than 48 to 72 hours
Have regular eye exams for glaucoma after 40 years
never use someone else’s eye meds