Latanoprost (Xalatan)

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Classification of Drug
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Prostaglandin analogues (Antiglaucoma)
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Therapeutic Uses
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Reduce intraocular pressure in Glaucoma.
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Contraindications
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Cautions in clients with a torn or absent lens, intraocular inflammation or risk of macular edema, respiratory distress.
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Common Side Effects
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Brown pigmentation of the iris; darkening of the eyelid, blurred vision, itching, excessive tearing; length and thickness in eyelashes.
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Adverse Reactions
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Rare: retinal embolus, detachment, and vitreous hemorrhage in clients with diabetic retinopathy.
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Drub-Lab-Food Interactions
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Drug: concomitant with eye drops containing thimerosal causes latanoprost to precipitate out of solution.
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Nursing Interventions and Considerations
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Close observations during the first dose of med administration. Assess: obtain a thorough medical history- allergies and herbal preparations. Assess: vital signs, baseline ,visual acuity, pulmonary crackles and wheezes.
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Client Education
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Take full course of medication as prescribed; never stop medication suddenly without Dr. approval; instruct client to avoid drugs with potential to increase IOP; inform the client to expect brown pigmentation of iris, darkening eyelids, and excessive tearing; teach client how to administer eye drops.

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