Glaucoma Flashcards

1
Q

What defines Glaucoma?

A

Progressive narrowing of the visual field

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2
Q

In Glaucoma therapeutics which agent is usually a decongestant?

A

Sympathomimetic?

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3
Q

What sympathetic receptor is involved with bronchodilation and increases aqueous production?

A

B2

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4
Q

What receptor is involved in vasoconstriction and mydriasis?

A

A1

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5
Q

Which parasympathetic receptor is involved in ciliary body contraction and increase aqueous outflow?

A

M3

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6
Q

What drug causes the sphincter muscle to contract?

A

Pilocarpine

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7
Q

When a drug ends with an -nidine?

A

Sympathomimetic

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8
Q

How much of a drug is lost through the Nasolacrimal Duct

A

80%

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9
Q

Which nonselective sympathomimetic is used more than Epi?

A

Dipivephrine

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10
Q

Which sympathetic receptor decreases aqueous production and increase trabecular outflow

A

A2

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11
Q

What do Carbonic Anhydrase suffix end with?

A

-amide (orange capped)

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12
Q

What is the color of a prostaglandin cap?

A

Teal capped

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13
Q

What is a major adverse reaction of sympathomimetics?

A

Thicken the cornea and increase IOP

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14
Q

What type of receptor is a selective sympathomimetic?

A

A2 receptor only

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15
Q

What is a more selective A2 drug from the selective sympathomimetics?

A

Brimonidine

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16
Q

When a pt. is suffering from Tachyphylaxis?

A

Brimonidine

Tachyphylaxis - response to a drug that is decreased

17
Q

What drug is the safest Beta blocker for asthma?

A

Betaxlol

Note: The receptor B1

18
Q

How can you determine a beta blocker?

A

every drug ends with olol

19
Q

Since Beta Blockers suppress the sympathetic system, what is major psychological disorder can occur?

A

Depression

20
Q

Which receptor is more selective when using Pilocarpine

21
Q

In regards to Pilocarpine, what is the main proposition in regards to its adverse effects?

A

Vestibular system is contraindicated

Note: Use more drops for dark irides

22
Q

What is the main function of a Carbonic Anhydrase inhibitor for eye care?

A

Aqueous production is decreased.

23
Q

What B-blocker for OAG is safe for diabetics?

24
Q

What is the Oral drug of choice for CAI’s?

A

Acetazolamide (short lasting)

25
What is the drug of choice for Glaucoma therapy?
PGF2a analogs
26
A pt. is allergic to BAK and requires glaucoma med, which one would you use?
Travoprost
27
Which PGF2a analog is a prostamide which enhances TM outflow?
Bimatoprost
28
What are major ocular adverse effects of PGF2a?
Iris/lid hyperpigmentation and hypertrichosis
29
What is good product to allow for hyperosmotidity to occur, allowing fluid to enter the vasculature system instead.
Take GLYCERIN orally but do not take if your a diabetic