After administration of dorzolamide (Trusopt), the patient complains of burning in the eyes and having
blurred vision. What does the nurse do next?
A.Notify the HCP immediately
B.Notify the charge nurse of the serious adverse effects
C.Tell the patient these adverse effects are common and should subside
D.Withhold the next dose and consult an ophthalmologist - Answer C. Tell the patient these adverse
effects are common and should subside
Classification of pilocarpine - Answer Cholinergic Drugs (Miotic)- Opthalmic
action of pilocarpine - Answer produces contractions of the iris (miosis) and ciliary body, widening the
angle to allow outflow
,uses of pilocarpine - Answer Reverse mydriasis after eye examination
contraindications of pilocarpine - Answer Pre-existing retinal disease
common side effects of pilocarpine - Answer ›Reduced visual acuity, difficulty adjusting to changes in
light intensity
›Conjunctival irritation, erythema
›Pain and discomfort of the eyes, especially in bright light
›Headache
›Decreased ability to read for long periods of time
serious adverse effects of pilocarpine - Answer -Diaphoresis (sweating)
-Salivation
-Abdominal discomfort
-Diarrhea
-Bronchospasm
-Muscle tremors
-Hypotension
-Dysrhythmias
-Bradycardia
Pilocarpine interactions - Answer ›Carbamate and or organophosphate insecticides and pesticides
The nurse is instructing the patient on the use of pilocarpine. Which statement by the nurse is correct?
A."This medication will inhibit the release of histamine so you will not have itchy eyes."
B."These eyedrops are used to treat your glaucoma."
C."When these drops are used, they cause a stain on the eye for examination purposes."
D."This medication prevents production of aqueous humor so increased intraocular pressure is reduced."
- Answer B. "These eyedrops are used to treat your glaucoma."
, Classification of phenylephrine - Answer Alpha-Adrenergic Agent
Action of phenylephrine - Answer cause pupil dilation, increasing the outflow, vasoconstriction and
relaxation of ciliary muscle
indication for phenylephrine - Answer lower IOP in open angle glaucoma
special population considerations with phenylephrine - Answer Caution for patients with:
Hypertension
Diabetes mellitus
Hyperthyroidism
Heart disease
Arteriosclerosis
Long-standing bronchial asthma
common side effects of phenylephrine - Answer Sensitivity to bright light (dilation)
Conjunctival irritation
Abnormal secretion of tears (lacrimation)
Serious adverse effects of phenylephrine - Answer Palpitations
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