Sensory

Question 1

How to administer eye drops

Answer 1

insert drops into the inner canthus and apply pressure for 15 seconds

Question 2

Why do you need to apply pressure for 15 seconds?

Answer 2

to slow absorption into the nasolacrimal duct

Question 3

Why is it important to slow absorption with a beta blocker drop?

Answer 3

The blood pressure and heart rate will drop

Question 4

How long should you wait to put contacts in after drops, and why?

Answer 4

wait at least 15 minutes because they can absorb whatever medication was in the drop

Question 5

Leading causes of blindness

Answer 5

Cataracts
Diabetic retinopathy
Glaucoma
Age related macular degeneration

Question 6

What cranial nerves affect the eye?

Answer 6

II optic
III Oculomotor
IV Trochlear
VI Abducens
VII Facial

Question 7

Cataract causes

Answer 7

Age
Trauma
Smoking
Alcohol
Radiation
UV light
Certain drugs (steroids)
Diabetes

Question 8

Cataract manifestations

Answer 8

Lens will be cloudy and opaque
Decrease in vision gradually
Abnormal color perception
Glare
Decreased ability to see at night or in the dark

Question 9

Cataract preoperative treatment

Answer 9

Mydriatic, cycloplegic agent
Non steroidal anti inflammatory drugs
Topical antibiotics
Antianxiety meds

Question 10

What is the only cure for cataracts?

Answer 10

Surgery
Lens removal (Phacoemulsification)
Intraocular lens implantation

Question 11

Cataracts postoperative treatment

Answer 11

Topical antibiotic/corticosteroid/anti-inflammatory agent
Eyepatch or shield
Mild analgesia
Hand hygiene

Question 12

Nonsurgical cataract treatment

Answer 12

Changes in glasses prescription
Strong reading glasses
Increased lighting
Lifestyle changes

Question 13

Cataract teachings

Answer 13

Notify HCP if pain is intense (may be hemorrhage or infection)
Remind pt to not rub or scratch
Remove area rugs/obstacles
Prepare meals for post op
audio books

Question 14

Angle closure glaucoma =

Answer 14

Medical emergency

Question 15

Primary open angle glaucoma (POAG)

Answer 15

Most common
Gradual onset
Asymptomatic
Gradual visual field loss until peripheral vision has been severely compromised

Question 16

What can happen if primary open angle glaucoma is left untreated?

Answer 16

tunneled vision with only small center visual field present. all peripheral vision will be absent

Question 17

Primary open angle glaucoma
Drug therapy

Answer 17

Controls but does not cure, lifetime treatment!
-Alpha adrenergic agonist
-Beta adrenergic blockers
-Carbonic anhydrase inhibitors
-Miotics
-Prostaglandin agonist

Question 18

Primary open angle glaucoma
Surgical therapy

Answer 18

Argon laser trabeculoplasty
Trabeculectomy with or without filtering implant

Question 19

Must give eye drops within

Answer 19

30 minutes

Question 20

Prostaglandin analogs

Answer 20

Preferred choice for initial treatment

Question 21

Prostaglandin analog side effects

Answer 21

increased brown iris pigmentation
stinging
redness
dryness
itching
foreign body sensation

Question 22

Beta-adrenergic blocking agent
TIMOLOL
contraindications

Answer 22

history of:
-asthma
-copd
-sinus bradycardia
-heart failure
-2nd/3rd degree heart block

Question 23

Timolol adverse reactions

Answer 23

bronchospasms
dyspnea
bradycardia
dizziness
heart block

Question 24

Timolol may potentiate

Answer 24

hypoglycemia &/or mask signs and symptoms

Question 25

Hold timolol for

Answer 25

15 seconds