Week 130 - Pharmacology Tutorial Flashcards
A patient is requiring examination of their retina. What drug would you suggest to dilate their pupil?
They are 34years old, have no medical conditions and blue eyes
Tropicamide
Phenylephrine another option, but takes longer to take effect
A patient is diagnosed with uveitis, which is treated with a steroid and which other drug?
Cyclopentolate (mydriasis + symptom relief)
A patients wife telephones to state her husband has a dry mouth, flushing and is slightly confused after having his pupils dilated at the hospital. Which drug do you suspect that he has received?
Atropine
Reported extrememly rarely with cyclopentolate
A patient on the ward develops infective conjunctivitis. Which drug would you prescribe?
Chloramphenicol
A patient is rushes into your GP surgery shouting that he has got a chemical in his eyes. What solution should be used to flush the eyes?
Sodium chloride 0.9% or tap water if not available
For which drugs should you be vigilant for the development of acute glaucoma?
Any drug used for mydriasis
phenylephrine, tropicamide, cyclopentolate or atropine
A patient has visited eye casualty after an accident at work where they felt a shard of plastic enter their eye. What drug would you use to aid examination of their eye?
Fluorescein drops
A patient requires an intra-ocular injection. Which drug would you use to make this more comfortable?
Local anaesthetic eg Proxymetacaine, lidocaine
A patient requires treatment for their glaucoma with a carbonic anhydrase inhibitor. What drug do you choose?
Dorzolamide (eye drop), acetazolamide (po)
A patient receiving treatment for their glaucoma describes symptoms of breathlessness, which they say remind them of the asthma they used to suffer from.
Which drug do you think they have been using?
Timolol
