GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or...
-
Upload
quentin-gilbert -
Category
Documents
-
view
219 -
download
0
Transcript of GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or...
![Page 1: GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or increase absorption of aqueous humor DRUGS Prostaglandin.](https://reader036.fdocuments.us/reader036/viewer/2022062315/5697c00c1a28abf838cc90af/html5/thumbnails/1.jpg)
GLAUCOMA TREATMENT
![Page 2: GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or increase absorption of aqueous humor DRUGS Prostaglandin.](https://reader036.fdocuments.us/reader036/viewer/2022062315/5697c00c1a28abf838cc90af/html5/thumbnails/2.jpg)
Glaucoma Drug Therapy Purpose:
- constrict the pupil -reduce production or
increase absorption of aqueous humor
DRUGSProstaglandin agonistsAdrenergic agonistsBeta-adrenergic blockersCholinergic agonistsCarbonic anhydrase inhibitors
![Page 3: GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or increase absorption of aqueous humor DRUGS Prostaglandin.](https://reader036.fdocuments.us/reader036/viewer/2022062315/5697c00c1a28abf838cc90af/html5/thumbnails/3.jpg)
DRUGS: PROSTAGLANDIN AGONISTHOW DO THESE TREAT GLAUCOMA?EXAMPLES OF DRUGS:
-Latanoprost (Xalatan) -bimatoprost (Lumigan)-travoprost (Travatan): not to be used
with pregnancy
![Page 4: GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or increase absorption of aqueous humor DRUGS Prostaglandin.](https://reader036.fdocuments.us/reader036/viewer/2022062315/5697c00c1a28abf838cc90af/html5/thumbnails/4.jpg)
DRUGS: Adrenergic AgonistsEXAMPLES:
-brimonidine tartrate ( Alphagan): • Nursing Implications:
-cannot combine with MAOI (monoamine oxidase inhibitor)
-Can precipitate hypertensive crisis-Instill without contact lens in
![Page 5: GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or increase absorption of aqueous humor DRUGS Prostaglandin.](https://reader036.fdocuments.us/reader036/viewer/2022062315/5697c00c1a28abf838cc90af/html5/thumbnails/5.jpg)
DRUGS: BETA ADRENERGIC BLOCKERSEXAMPLES:
-levobunolol HCl (Betagen Liquifilm)-betaxolol HCl (Betoptic)-timolol (Betimol, Timoptic)
Nursing Implications
-WHAT PRECAUTIONS MUST BE USED WITH ORAL BETA BLOCKERS AND CALCIUM CHANNEL BLOCKERS?
![Page 6: GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or increase absorption of aqueous humor DRUGS Prostaglandin.](https://reader036.fdocuments.us/reader036/viewer/2022062315/5697c00c1a28abf838cc90af/html5/thumbnails/6.jpg)
Drugs: CholinergicsEXAMPLES
-carbochol(Carboptic, Isopto Carbachol, Miostat)
-pilocarpine(Adsorbocarpine, Piloptic, Pilopine)
Nursing Considerations: -can cause increase with saliva,
sweating -pupil becomes smaller (miosis)
![Page 7: GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or increase absorption of aqueous humor DRUGS Prostaglandin.](https://reader036.fdocuments.us/reader036/viewer/2022062315/5697c00c1a28abf838cc90af/html5/thumbnails/7.jpg)
DRUGS: CARBONIC ANHYDRASE INHIBITORS:
EXAMPLES: -brinzolamide (Azopt), -dorzolamide (Trusopt)
Nursing Implications :-check if allergic to sulfonamide-has a diuretic effect-don’t use with contacts
![Page 8: GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or increase absorption of aqueous humor DRUGS Prostaglandin.](https://reader036.fdocuments.us/reader036/viewer/2022062315/5697c00c1a28abf838cc90af/html5/thumbnails/8.jpg)
SURGERY FOR BOTH TYPES OF GLAUCOMAPURPOSE: to create a permanent way to drain
fluidTYPES (Open Angle Glaucoma)
-Laser trabeculectomy: laser burns trabecular meshwork
-Filtering microsurgery: creates drainage hole in iris
If patient doesn’t respond to surgery, then a shunt or glaucoma drainage device may be implanted
Closed Angle Glaucoma: peripheral iridectomy
![Page 9: GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or increase absorption of aqueous humor DRUGS Prostaglandin.](https://reader036.fdocuments.us/reader036/viewer/2022062315/5697c00c1a28abf838cc90af/html5/thumbnails/9.jpg)
Glaucoma Surgical Treatment
![Page 10: GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or increase absorption of aqueous humor DRUGS Prostaglandin.](https://reader036.fdocuments.us/reader036/viewer/2022062315/5697c00c1a28abf838cc90af/html5/thumbnails/10.jpg)
Glaucoma Videohttp://video.google.com/videoplay?docid=-
2504983511038511848#
![Page 11: GLAUCOMA TREATMENT Glaucoma Drug Therapy Purpose: - constrict the pupil -reduce production or increase absorption of aqueous humor DRUGS Prostaglandin.](https://reader036.fdocuments.us/reader036/viewer/2022062315/5697c00c1a28abf838cc90af/html5/thumbnails/11.jpg)
POSTOP NURSING CAREClinical setting: outpatient services
Precautions: measures to prevent increased IOP
Postop complications:choroidal hemorrhage