Miki - Timoptic Flashcards
Names
Generic - timolol
Trade - Timoptic
Drug classes
Therapeutic: antihypertensives, vascular headache suppressants
Pharmacological - beta blocker
Indications
Hypertension
Prevention of MI
Prevention of migraine headaches
Unlabelled uses:
- anxiety
- essential tremor
- ventricular arrhythmias
Action
Blocks stimulate ion of beta1 (myocardial) and beta2 (pulmonary, vascular, uterine) adrenergic receptor sites
Reduced the effects of epinephrine and NE
Therapeutic effects
Decreased HR and BP
Prevention of MI
Decreased migraines
Contra indications
Cardiogenic shock
Bradycardia
Pulmonary edema
Uncompensated HF
Use cautiously in:
- renal/hepatic impairment
- pulmonary disease
- diabetes mellitus
- Px with allergic reactions
- GERI (may have sensitivity to beta blockers, lower dose)
Adverse effects
Frequent:
- erectile dysfunction
- fatigue
- weakness
Heart failure
Arrhythmias
Bradycardia
Pulmonary edema
Anaphylaxis
Safe dose
Miki likely using for intraocular pressure
1 drop of 0.25-0.5% solution 1-2x/d
Why is miki taking this
Reduce intraocular pressure
Side effects seen in miki
Dizziness and fatigue
Delirium?
Drug and miki
Blurred vision (fall risk after eye drop)
Taking ramipril
- increased risk of hypotension and bradycardia
Nursing actions
Monitor HR and BP ac/pc
Watch for fatigue, dizziness, confusion
Be aware of cognitive changes
Apply nasolacrimal pressure for 1-2 mins after administration to minimize systemic absorption
What does miki need to know
This will help you see better
