by zarulm


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dorzolamide HCl (Trusopt)
SE:
  • ocular burning, stinging, discomfort
  • blurred vision, tearing, or dryness
  • photophobia
  • bitter taste in mouth
Nursing Considerations:
  • tx of glaucoma and ocular HTN
  • wash hands before and after instillation
  • do not touch tip of dropper to eye or body
  • do not wear contact lens during instillation
  • drug is a sulfonamide;although given topically, it can be absorbed systemically
  • stop if eye inflammation or eyelid reactions
dorzolamide/timolol (Cosopt)
SE:
  • ocular burning, stinging, discomfort
  • blurred vision, tearing, or dryness
  • photophobia
  • bitter taste in mouth
Nursing Considerations:
  • treatment of glaucoma and ocular HTN
  • place pressure on tear ducts for one minute
  • wash hands before and after instillation
  • do not touch drug container to eye or body
  • do not wear contact lens during instillation
  • drug contains sulfonamide; although given topically, it can be absorbed systemically
  • stop if eye inflammation or eyelid reactions
travoprost (Travatan)
SE:
  • ocular hyperemia
  • decreased visual acuity
  • eye discomfort or pain
  • foreign body sensation
  • eye pruritus
Nursing Considerations:
  • treatment of glaucoma and ocular HTN for pt who can't tolearte or responds inadequately to other IOP-lowering drugs
  • place pressure on tear ducts for one minute
  • wash hands before and after instillation
  • do not touch tip of dropper to eye or body
  • potential for increased brown pigmentation of iris, eyelid skin darkening, changes in eyelashes, important if only one eye being treated
  • stop if eye inflammation or eyelid reactions
  • remove contact lens to give med, can reinsert in 15 minutes
  • discard med six months after opening
levobunolol (Ak-beta, Betagan)
SE:
  • hypotension
  • transient eye stinging and burning
  • asthma attacks in patients with history of asthma
Nursing Considerations:
  • tx of glaucoma and ocular HTN
  • place pressure on tear ducts for one minute
  • wash hands before and after instillation
  • do not touch tip of dropper to eye or body
  • drug is a beta blocker,¬†although given topically it can be absorbed systematically
  • report SOB, chest pain or heart irregularity
  • wear medical identification tag
timolol (Timoptic gel, Betimol solution)
SE:
  • fatigue
  • weakness
Nursing Considerations:
  • treatment of glaucoma and ocular HTN
  • place pressure on tear ducts for one minute
  • wash hands before and after instillation
  • do not touch eye container to eye or body
brimonidine tartrate (Alphagan)
SE:
  • ocular hyperemia
  • allergic conjunctivitis
  • pruritus
Nursing Considerations:
  • treatment of glaucoma and ocular HTN
  • wait 15 minutes after use to wear soft contact lens
  • use caution with hazardous activities due to decreased mental alertness
  • avoid alcohol
  • monitor intraocular pressure because may reverse after 1 month of therapy
cromolyn na (Opticrom)
SE:
  • ocular irritation
Nursing Considerations:
  • used in treatment of conjunctivitis, keratitis
  • wash hands before and after instillation
  • do not touch tip of dropper to eye or body
  • do not wear soft contact lens while using this med
flurbiprofen (Ocufen)
SE: ocular irritations Nursing Considerations:
  • inhibition of intraoperative miosis
  • give every half hour, starting 2 hours before surgery, 4 drops to each eye
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