Antiglaucoma Medications/ Topical Beta Blockers/Otic Medications – Flashcards
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Dorzolamide HCl (trusopt): Side Effects
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ocular burning, stinging, discomfort, blurred vision, tearing or dryness, photophobia, bitter taste in mouht
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Dorzolamide HCl (trusopt): INdication
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treatment of glaucoma and ocular hypertension
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Dorzolamide HCl (trusopt): Patient Teachign
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wash hands before and after instillation, do not touch tip of dropper to eye or body, do not wear contact lens during instillation, stop if eye inflammation or eyelid reactions
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Dorzolamide HCl (trusopt): Nursing Considerations
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drug is a sulfonamide; although given topically, it can be absorbed systemically
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Dorzolamide HCl (trusopt): Pregnancy Category
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C
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Dorzolamide/Timolol ( Cosopt): Side Effects
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ocular burning, stinging, discomfort, blurred vision, tearing or dryness, photophobia, bitter taste in mouth
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Dorzolamide/Timolol ( Cosopt): Indication
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treatment of glaucoma and ocular hypertension
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Dorzolamide/Timolol ( Cosopt): Patient teaching
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place pressure on tear ducts for 1 minute, wash hands before and after instillation, do not touch drug container to eye or body, do not wear conact lens during instillation, stop if eye inflammation or eyelid reaction
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Dorzolamide/Timolol ( Cosopt): Nursing Considerations
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drug contains sulfonamide; although given topically, it can be absorbed systemically
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Dorzolamide/Timolol ( Cosopt): Pregnancy Category
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C
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Travoprost (Travatan): Side Effects
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occular hyperemia, decreased visual acuity, eye discomfort or pain,foreign-body sensation, eye pruritus
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Travoprost (Travatan): Indication
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treatment of glaucoma and ocular hypertension for patients who can't tolerate or respond inadequarely to other IOP-lowering drugs
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Travoprost (Travatan): Patient Teaching
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place pressure on tear ducts for 1 minute, wash hands before and after instillation, do not touch tip of dropper to eye or body, stop if eye inflammation or eyelid reactions, remove contact lens to give med can reinsert in 15 minutes, discard med 6 months after opening
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Travoprost (Travatan): Nursing Considerations
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potential for increased brown pigmentation of iris, eyelid skin darkening, changes in eyelashes; important if only one eye is being treated
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Travoprost (Travatan): Pregnancy Category
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C
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Levobunolol (AK-Beta, Betagan): Side Effects
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hypotension, transient eye stinging and burning, asthma attacks in patients with history of asthma, bradycardia
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Levobunolol (AK-Beta, Betagan): INdication
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treatment of glaucoma and ocular hypertension
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Levobunolol (AK-Beta, Betagan): Patient Teaching
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place pressure on tear ducts for 1 minute, wash hands before and after instillation, do not touch tip of dropper to eye or body, report shortness of breath, chest pain, or heart irregularity
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Levobunolol (AK-Beta, Betagan): Nursing Considerations
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drug is a beta blocker, although given topically, it can be absorbed systemically, monitor diabetic patients for hypoglycemia, wear medical information tag
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Levobunolol (AK-Beta, Betagan): Pregnancy Category
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C
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Timolol (Timoptic, Betimol solution): Side Effects
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fatigue, weakness, hypotension, burning and stinging of eye, bradycardia
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Timolol (Timoptic, Betimol solution): Indication
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treatment of glaucoma and ocular hypertension
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Timolol (Timoptic, Betimol solution): Patient Teaching
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place pressure on tear ducts for 1 minute, wash hands before and after instillation, do not touch drug container to eye or body
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Timolol (Timoptic, Betimol solution): Nursing COnsiderations
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monitor for hypoglycemia in diabetic patients
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Timolol (Timoptic, Betimol solution): Pregnancy Category
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C
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Brimonidine Tartrate (Alphagan P): Side Effects
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ocular hyperemia, allergic conjunctivitis, pruritus, fatigue, hypertension, visual distrubance
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Brimonidine Tartrate (Alphagan P): INdication
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treatment of glaucoma and ocular hypertension
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Brimonidine Tartrate (Alphagan P): Patient Teaching
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wait 15 minutes after use to wear soft contact lens, use caution with hazardous activities due to decreased mental alertness, avoid alcohol
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Brimonidine Tartrate (Alphagan P): Nursing Considerations
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monitor intraocular pressure because may reverse after 1 month of therapy
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Brimonidine Tartrate (Alphagan P): Pregnancy Category
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B
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Cromolyn NA (Opitcrom): Side Effects
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ocular irritation, hypersensitivity
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Cromolyn NA (Opitcrom): Indication
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used in treatment of conjunctivitis, keratitis
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Cromolyn NA (Opitcrom): Patient Teaching
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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 medication
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Cromolyn NA (Opitcrom): Pregnancy Category
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B
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Flurbiprofen (Ocufen): Side Effects
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ocular irritation
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Flurbiprofen (Ocufen): Indication
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inhibition of intraoperative miosis
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Flurbiprofen (Ocufen): Dosing instructions
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give every 30 minutes, starting 2 hours before surgery, 4 drops to each eye
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Flurbiprofen (Ocufen): nursing Consideration
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may cause increase bleed of ocular tissue with ocular surgery
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Flurbiprofen (Ocufen): Pregnancy Category
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C
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Antipyrine/Benzocaine/Glycerin Otic Solution (Auralgan): Side Effects
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Hypersensitivity
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Antipyrine/Benzocaine/Glycerin Otic Solution (Auralgan): Indication
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otic analgesic inflammation
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Antipyrine/Benzocaine/Glycerin Otic Solution (Auralgan): Nursing COnsideration
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suspension: shake well (also comes in solution) can warm up with hands for patient's comfort, warn patient not to touch ear with dropper, warn patient that drug is for use in ears only, may place cotton plug moistened with auralgan in ear canal
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Antipyrine/Benzocaine/Glycerin Otic Solution (Auralgan): Patient Teaching
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do not get in eyes, nose or mouth, do not rinse dropper
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Hydrocortisone/Neomycin/Polymyxin Otic (Cortisporin): Side Effects
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hypersensitivity, burning, dryness, skin atrophy
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Hydrocortisone/Neomycin/Polymyxin Otic (Cortisporin): Indication
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otic analgesic and antibiotic for treatment of bacterial infections of external auditory canal
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Hydrocortisone/Neomycin/Polymyxin Otic (Cortisporin): Patient teaching
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warn patient not to touch ear with dropper, explain drug is for use in ears only
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Hydrocortisone/Neomycin/Polymyxin Otic (Cortisporin): Nursing Considerations
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possible cross allergy with kanamycin, paromomycin, streptomycin, and gentamicin
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Hydrocortisone/Neomycin/Polymyxin Otic (Cortisporin): Pregnancy Category
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C