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7 Cards in this Set

  • Front
  • Back

betaxolol (Betoptic)



How does it help to treat glaucoma?


What are it's side effects?


What are your nursing considerations?

It decreases IOP and decreases aqueous humor production.



Side effects: transient discomfort, bradycardia, heart block, pulmonary distress, headache, depression



Nursing considerations: drug is contraindicated in pts with bradycardia, cardiogenic shock, or overt cardiac failure.

levobunolol (Betagan) and timolol maleate (Timoptic, Istalol)



How does it help to treat glaucoma? What are it's side effects? What are your nursing considerations?

B1 and B2 noncardioselective blockers



It decreases IOP and decreases aqueous humor production



Side effects: transient ocular discomfort, blurred vision, phototobia, bradycardia, decreased BP, bronchospasm, headache, and depression



Nursing considerations: topical drops. Contraindicated in pts with asthma and COPD

dipivefrin (Propine)



How does it help to treat glaucoma? What are it's side effects? What are your nursing considerations?

It is converted to epinephrine inside the eye. It decreases aqueous humor production, and enhances the outflow facility



Side effects: ocular discomfort and redness, tachycardia, hypertension



Nursing: contraindicated in pts with narrow-angle glaucoma. Teach punctual occlusion if pt is at risk of systemic reactions

Epinephrine



How does it help to treat glaucoma? What are it's side effects? What are your nursing considerations?

It is converted to epinephrine inside the eye. It decreases aqueous humor production and enhances the outflow facility



Side effects: ocular discomfort and redness, tachycardia, hypertension



Nursing: contraindicated in pts with narrow-angle Glaucoma. Teach punctual occlusion if pt is at risk for systemic reactions

apraclonidine (Iopidine), brimonidine



How does it help to treat glaucoma? What are it's side effects? What are your nursing considerations?

Decreases aqueous humor production



Side effects: ocular redness, irregular heart rate



Nursing: teach pt at risk of systemic reactions to occlude puncta

latanoprost (Xalatan), travoprost, bimatroprost (Lumigan)



How does it help to treat glaucoma? What are it's side effects? What are your nursing considerations?

Prostaglandin F analogs. ???



S/S: increased brown iris pigmentation, ocular discomfort and redness, dryness, itching, and foreign body sensation



Nursing: teach pt not to exceed 1 drop per evening. Have pt remove contact lenses 15 mins before instilling

carbachol (Miostat, Isopto, Carbachol)



How does it help to treat glaucoma? What are it's side effects? What are your nursing considerations?

Stimulates iris sphincter contraction, causing miosisand opening of trabecular mesh work, facilitating aqueous outflow. It also partially inhibits cholinesterase



S/S: transient ocular discomfort, headache, blurred vision, decreased adaptation to the dark, syncope, salivation, dysthymias, vomiting, diarrhea, hypotension



Nursing: caution patient about decreased visual acuity caused by miosis, particularly in dim light