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mydriatic : Action: dilates pupil/ Use: eye examinations/ Adverse Effects : dry mouth , blurred vision/ Nusring Considerations: place inside lower lid, not directly on the eye (page 100 in binder) Example: atropine sulfate tardive dyskinesia : Involuntary , repetitive useless movements such as spasms protrusion of the tongue and inability to swallow that occur almost continuously during waking hours but cease during sleep. Often the result of long-term antipsychotic use. Beta Blocker : Action: lowers pressure Use: reduce blood pressure Beta blockers, also known as beta-adrenergic blocking agents, are medications that reduce your blood pressure. Beta blockers work by blocking the effects of the hormone epinephrine, also known as adrenaline. When you take beta blockers, your heart beats more slowly and with less force, thereby reducing blood pressure. 2 | P a g e Miotics : Action: decreases eye pressure Use: treat glaucoma Adverse Effects: headache , perspiration, salivation , night blindness , blurred vision, possibility of increased high BP Example: pilocarpine HCL (Pilocar) Nursing Considerations: place med inside lower lid not , not directly on the eye , monitor BP, best to apply eye ointment at night if possible , wait 5 mins between 2 different eye meds. metformin (Glucophage) : biguanide antidiabetic Action: stimulates islets of Langerhans cells to produce insulin and lower blood sugar Use: treat type 2 diabetes , sometimes given along with insulin in type 1. Adverse Effects: Renal impairment, sulfonamide sensitivity , liver dysfunction , skin rash , nausea and vomiting , heartburn , hypoglycemia Nursing Considerations : be aware of other meds resident is taking and monitor signs and symptoms of interactions . Monitor for hypoglycemia , make sure they are eating enough of prescribed diet. Report changes in urine test to the nurse. Administer approximately 30 minutes before a