Instillation of Drops

Question 1

what are 4 types of drops

Answer 1

anesthetics, mydriatics, miotics, and cycloplegics

Question 2

when are 3 times when punctal occlusion is essential

Answer 2

using 10% phenylephrine (hypertensive crisis), beta blockers (bradycardia), and adrenergic agents (tachycardia)

Question 3

what must be obtained before instilling eyedrops

Answer 3

patient consent and note it in chart

Question 4

what 3 things do you do before instilling the drops

Answer 4

read label, check dose, and expiration date (30 days after opening)

Question 5

where do you place the bottle cap

Answer 5

in your non-dominant hand

Question 6

how long after instillation do you hold your fingers over the nasolacrimal sac

Answer 6

about 1 minute

Question 7

how long should the patient keep their eyes closed after instillation (may also have patient punctal occlude during this time)

Answer 7

3 minutes

Question 8

what is vasovagal syncope

Answer 8

fainting

Question 9

what steps do you take if a patient has vasovagal syncope after drop instillation

Answer 9

recline chair, can break ammonia tabs, DO NOT LEAVE PATIENT, call for help, monitor vital signs

Question 10

what 3 symptoms do you watch for after instilling drops that may lead to vasovagal syncope

Answer 10

poor verbal response, sudden sweating, and feeling dizzy

Question 11

what must you do before instilling drops in children

Answer 11

have parent/family member consent and they are educated in systemic toxic effects