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

A

M

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?

A

Cartelol

24
Q

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

A

Acetazolamide (short lasting)

25
Q

What is the drug of choice for Glaucoma therapy?

A

PGF2a analogs

26
Q

A pt. is allergic to BAK and requires glaucoma med, which one would you use?

A

Travoprost

27
Q

Which PGF2a analog is a prostamide which enhances TM outflow?

A

Bimatoprost

28
Q

What are major ocular adverse effects of PGF2a?

A

Iris/lid hyperpigmentation and hypertrichosis

29
Q

What is good product to allow for hyperosmotidity to occur, allowing fluid to enter the vasculature system instead.

A

Take GLYCERIN orally but do not take if your a diabetic