Lecture 8 Drop instillation

Question 1

How is absopriton to the nasopharyngeal mucosa minimized with drop instillation?

Answer 1

punctal occlusion

Question 2

• Using 10% phenylephrine to avoid hypertensive crisis
• Beta blockers to avoid breathing problems and bradycardia
• Adrenergic agents to avoid tachycardia and hypertensive crisis
• -all of these describe when a ______ occlusion is essential

Answer 2

punctal

Question 3

you use punctal occlusion when using 10% phenlephrine to avoid (hypotension/hypertension) crisis

Answer 3

hypertension

Question 4

you use punctal occlusion when using beta blockers to avoid ___ problems and bradycardia

Answer 4

breathing

Question 5

you use punctal occlusion when using adrenergic agents to avoid (bicardia/tachycardia) and hypertensive crisis

Answer 5

tachycardia

Question 6

Do you need the pt consent when putting in drops? do you need to note it in chart?

Answer 6

yes, yes

Question 7

What four things should you tell the patient before drop intillation

Answer 7

• plan on instilling drops
• may sting
• normal aciton of the drops and how long the effect will last
• potential side effect of the drops
• —dont forget to check expiration date! (can let pt know )

Question 8

T/F before putting in drops you must check that there are no allergies, drug interaciton, systemic conditions, ocular anatomical conditions that will interfere with the drops or have unwanted side effects

Answer 8

T

Question 9

T/F it is okay for the pt to take the tissu and dab thier puncta after you have done the drop instillation

Answer 9

F . Ask them to only wipe the excess drops and not drain their eyes of the medication with the tissue

Question 10

Which hand should the bottle cap be in?

Answer 10

non-dominant hand

Question 11

describe the two handed technique for drop instillation

Answer 11

Left hand holds upper lid, right hand pulls down lower lid and instills drop

Question 12

T/F Hold the dropper far away enough from the patient’s eye so that an unexpected blink will not contaminate the bottle

Answer 12

T

Question 13

T/F You should never ask the pt to occlude the puncta himself

Answer 13

F you may ask pt to occlude the puncta by straddling the bridge

Question 14

About how long should the pt keep their eye closed for after instillation?

Answer 14

3 minutes

Question 15

Why is it important to keep eyes closed for 3 minutes after intillation?

Answer 15

This will keep the amount of drug pumped into the naso-lacrimal system by the lids and orbicularis muscle to a minimum

Question 16

(syncope/synapse/syneresis) is a brief loss of consciousness, fainting

Answer 16

syncope

Question 17

(blepharoptosis/blepharospasm) sudden, involuntary spasm of the orbicularis oculi muscle , produding uncontrolled blinking and lid squeezing

Answer 17

blepharospams