EENT Pharm

Question 1

The nurse is educating a client with glaucoma. Which of the following classifications of medications should the nurse instruct the client to avoid?

Answer 1

Anticholinergics

*Anticholinergic medications (atropine, scopolamine) can increase intraocular pressure (IOP) and worsen the condition of clients with glaucoma. Anticholinergic agents also have the potential to produce central side effects in adults, such as confusion, an unsteady gait, or drowsiness. Other classes of medications, such as tricyclic antidepressants and antihistamines, also have anticholinergic side effects and should be avoided in glaucoma.

Question 2

Decreased IOP

Answer 2

Acetazolamide

Question 3

It is a diuretic given intravenously or orally to a client with angle-closure glaucoma.
It causes a reduction in aqueous humor production by directly inhibiting carbonic anhydrase.

Answer 3

ACETAZOLAMIDE

Question 4

WHAT MEDICATIONS SHOULD BE AVOIDED IN GLAUCOMA

Answer 4

Anticholinergics, TCAs, decongestants, and antihistamines ashould be avoided because these medications raise the IOP.