Eye + Ear
Beta-Adrenergic Blockers
Timolol, Carteolol...
A client taking phenobarbital presents with BP 70/55, respiration 10bpm, pinpoint pupils, and nystagmus. What reaction are they experiencing?
Toxicity
*Stop medication, administer oxygen, monitor v/s, and have resuscitation equipment available
Wheat germ, green veggies, bananas, liver, and legumes all contain this vitamin.
Pyridoxine (vitamin B6)
This medication can improve cognitive functioning in the early stages of Alzheimer's disease
Donepezil
Clients taking timolol should occlude what to minimize a systematic effect
Nasolacrimal duct
Gingival hyperplasia
Why are high-protein foods are avoided when taking levodopa/carbidopa?
Protein delays absorption thus reducing the therapeutic effect
The nurse observes the client taking neostigmine and having excessive muscarinic stimulation manifestations. How should the nurse treat severe reactions
Atropine
A client taking latanoprost reports stinging and burning. What should you educate the client NOT to d?
Avoid rubbing eyes, this can cause cornea abrasions
A client taking phenytoin states they started to have red and itchy spots on their legs and arms. As the nurse how do you respond?
The client is experiencing an adverse reaction to the medication. The client should be educated to discontinue the medication.
The nurse observes the client taking levodopa/carbidopa has head bobbing, facial grimacing, and tremors. What do you expect is happening?
Adverse reaction to the medication and exhibiting dyskinesias
What manifestations does a cholinergic crisis include?
Respiratory depression due to the paralysis of the respiratory medications
Medications used to treat acute otitis media and otitis externa?
(Name the medications)
Amoxicillin and Ciprofloxacin plus hydrocortisone otic drops
Seizure medications are not a cure, they help control seizures. If you stop taking your medication, you are at high-risk of having seizure
The client is newly prescribed levodopa/carbidopa and is upset that they are not seeing the effectiveness of the medication. How should the nurse respond?
Effects may not be noticeable for a few weeks or several months
The nurse to teach the client to occlude this structure when instilling Timolol for POAG?
Nasolacrimal Duct
-This helps to minimize the systematic effect
What should the nurse educate the client regarding ear drop administration? (5 bullets)
1. Roll the container between hands to warm and mix the solution
2. Client should tilt their head to the unaffected side
3. Client should stay in a side-lying position for 5 minutes
4. Cotton ball to help prevent dripping
5. Keep the cotton ball in place for 15 mins.
Which laboratory tests should the nurse monitor for a client taking valproic acid?
Liver function tests
Amylase levels
Platelets
Ammonia levels
True or False, levodopa/carbidopa can be stopped at any time.
False, this medication should not be stopped or discontinued abruptly
The nurse is preparing to administer otic antibiotics to a child. How should the nurse position the ear?
Straighten the ear canal by pulling the auricle down and back