Other
NR 293 Week 8 Discussion: Glaucoma | GRADED A+ | Chamberlain College of Nursing
- Course
- Institution
NR 293 Week 8 Discussion: Glaucoma | GRADED A+ | Chamberlain College of Nursing
[Show more]
Seller
Follow
ProfGoodlucK
Reviews received
Content preview
Week 8: Discussion: GlaucomaNo unread replies.11 reply.
Pharmacological management of glaucoma focuses on the reduction of intraocular
pressure by increasing the drainage of aqueous humor, decreasing the production, or
both. What drug classes are used to reduce intraocular pressure? Describe three
nursing interventions to consider with these drug classes.
Glaucoma is a condition where the optic nerve of eye is damaged due to abnormally high
pressure in the optic nerves. Glaucoma does not discriminate, it can occur at any age, however it
is seen more in adults and it is the leading cause of blindness in the elderly. This condition has no
warning signs because it is gradual and it is unnoticeable for the most part when vision change is
in an advanced stage. Vision loss due to glaucoma is not reversible, however, complications can
decrease with early diagnosis and treatment because earlier detection can slowdown or prevent
vision loss.
Medications for glaucoma includes;
Beta blockers are the first-line drug therapy for glaucoma and decrease intraocular
pressure by reducing aqueous humor production.
Pilocarpine ophthalmic solution - these medications work by draining excess fluid from
the eye (medlineplus.gov).
Carbonic anhydrase inhibitors (dorzolamide, acetazolamide, and brinzolamide) work in
similar ways as beta blockers. In the treatment of glaucoma, carbonic anhydrase
inhibitors decrease the secretions of the aqueous humor (drugs.com).
These are available in gels or eyedrop.
Nursing considerations
Patients should be taught how to administer their medications properly to ensure that they get
the full benefits of the therapy.
Instructions on proper administration will be provided to the patient during discharge
teaching. With timolol eyedrop, patients should be made aware of the side effects, such as
dizziness, difficulty breathing, swelling and numbness or tingling.
Patient’s blood pressure should be monitored when on beta blockers.
For patients using carbonic anhydrase inhibitors, patients should be assessed for allergies to
sulfonamides and be observed for signs of hypokalemia (Vallerand, Sanoski & Quiring,
2019). Patients should also be assessed for a decrease in visual acuity.
It is important for the patient to know to keep eyes closed for about 2 minutes after
administering eye drops to be more effective.
As always, medications should not be shared and side effects should be noted.
If severe adverse effects occur, a healthcare provider should be contacted immediately.
Take out contact lenses before using dorzolamide. Lenses may be put back in 15 minutes
after dorzolamide is given. Do not put contacts back in if your eyes are irritated or infected
(drugs.com).
If it is close to the time for your next dose, skip the missed dose and go back to your normal
time.
Do not use 2 doses at the same time or extra doses.
This study source was downloaded by 100000847795904 from CourseHero.com on 06-27-2022 11:55:27 GMT -05:00
https://www.coursehero.com/file/66520338/Week-8docx/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ProfGoodlucK. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82871 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now