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Visual and Auditory
Visual and Auditory Drugs
| Question | Answer |
|---|---|
| phenylephrine (Mydfrin) EYE | Older adults are more prone to systemic absorption causing hypotension and tachycardia. Set up safety precautions |
| pilocarpine (Isopto Carpine) EYE | Difficulty seeing at night, avoid driving at night until visual side effects subside. S/E: tachycardia |
| methazolamide (Neptazane) | Inhibits renal blood flow and GFR, so the drug may leas to electrolyte disturbances of hypokalemia and hypernatremia |
| chloramphenicol (Chloromycetin) EAR | Lie down while instilling ear drops, dizziness may occur following instillation which could result in accidental fall |
| African-Americans and Mydriatics EYE | Require higher dosage for adequate pupillary dilation |
| Bilberry EYE | Stabilizes collagen. Used to prevent long-term eye complications with DM |
| tobramycin (TobraDex) EYE | Common S/E: neurotoxicity and nephrotoxicity |
| salicylates (Aspirin) EAR | OTC most likely to cause ototoxicity |
| acetazolamide (Diamox) EYE | Reduces IOP. Increases urinary elimination therefore increased excretion of potassium. Risk for fluid volume deficit. Take early in the day to avoid nocturia |
| mannitol (Osmitrol) EYE | Increases movement of fluid out of the inner eye into the bloodstream |
| timolol maleate (Timoptic) EYE | Decreases production of aqueous humor resulting in decreased IOP |
| verteporfin (Visudyne) EYE | Dye is activated by the sun. Wear protective clothing when exposed to sun, could cause severe blistering |
| vidarabine (Vira-A) EYE | Redness and swelling are signs of hypersensitivity. Discontinue med immediately |
| trifluridine (Viroptic) EYE | Used to treat viral infections like herpes. Administer for an additional 5 to 7 days after healing has occured |
| Children 2 and under... EAR | Pull pinna down and back |
| Proparacaine | Used to prevent pain during eye procedures. Onset of 20 seconds and duration of 15-20 minutes. Admin right before procedure |
| dipiyfrine (Propine) | Press on inner canthus immediately after administration. Reduces risk of systemic absorption |
| hydroxyamphetamine (Paredrine) | S/E: confusion |
| opthalamic corticosteroids | Increased risk of infection. Should not risk abrasion of the optic tissue. Wear contact lenses throughout corticosteroid therapy |
| cold ear medication | Can cause dizziness and nausea |
| latanoprost (Xalatan) | Increases outflow of aqueous humor via the cornea resulting in decreased IOP |
| scopolamine hydrobromide | Dry mouth is indicative of systemic absorption. Withhold med and seek medical attention |
| carteolo (Ocupress) | IOP pressure 10-21 mmHg is normal |
| prednisone (econopred) | Corticosteroids reduce immune response there healing time is slowing reducing the chance of scaring |