Exam 4 Med surge
**Glaucoma Sensory Disorders
-Increased IOP
-2nd leading cause blindness in US **Cataracts
-Leading cause of blindness in -may occur in one or both eye
African Americans -film over the eye (looks grey or blue)
RF for developing glaucoma:
-YOU WILL NOT SEE PERRLA
-Migraines
(does not dilate)
-African American
-Cardiovascular disease
-DM -senile cataracts may be age related
-Family History
-Cornea?? RF for developing cataracts:
-advanced age
Assessment Findings: -smoker
-blurred vision -high blood pressure
-halos -high blood sugar
-difficulty seeing at night -overweight
-difficulty focusing -sun exposure
-loss of peripheral vision
-pain around eyes Signs & Symptoms:
-headaches -decrease vision
-decrease color perception
-NORMAL PRESSURE=10-21
Surgery:
MEDICATION: TIMOLOL -implant
(Eye shields worn 1 week after surgery at night to
Beta Blocker contraindicated with:
avoid injury)
-asthma
-bradycardia
Medication:
-HF
-Heart Block Alfa-antagonist= Tamsulosin (MD SHOULD BE
-COPD AWARE)
Can cause a condition called intraoperative floppy
Steps to insert eye drops: iris syndrome
-wash hands
-head back
-lower lid down
-place dropper over eye
-have look up
-place drop
-have look down
-release
-close eye
-apply pressure to lacrimal duct for 3-5 min
Trabeculectomy Surgery
-helps improve drainage + dc IOP
Fields Study Test: -red light to test peripheral vision
, **Age Macular Degeneration (AMD) **Meningitis
-blurred smokey vision -inflammation of meninges around brain +
spinal cord
2 Types: Dry & Wet
3 types:
-fungal-dc immune system Ex. HIV-AIDS
-Dry cannot be reversed -viral-most common, recovery
-Only Tx: is for wet -Bacterial-Medical Emergency tx
medication drops do not cure
-Greatest Risk: Fever= Increases cerebral
Amster Grid Test metabolism and intracranial pressure
-should be performed for wet
-should be taught to do test at home if -Bacterial
(WET) is getting worse Nasal cultures must be done before
ANYTHING
Risk for MD -Encourage to take all antibiotics
-advanced age
-sun Medications:
-Dexamethasone: dc inflammation
Preventatives: -Most effective 15-20 min prior to first dose
-prevent eye strain of ABT
-avoid irritants -then Q6 hrs. x4 days
-never use someone’s eye med
-do not drive after applying drops -11-12yr old + high school & college
-OTC drops shouldn’t be taken longer than 3 students’ immunizations recommended
days
-Shock= B/P low as a sign
Signs & Symptoms:
-projectile vomiting
-nutchel rigidity
-photophobia
Tests:
Kernig Test:
Lay on back, knees high flex, pain is a
positive sign
-Lumbar Puncture
Determines fungal or viral
**Glaucoma Sensory Disorders
-Increased IOP
-2nd leading cause blindness in US **Cataracts
-Leading cause of blindness in -may occur in one or both eye
African Americans -film over the eye (looks grey or blue)
RF for developing glaucoma:
-YOU WILL NOT SEE PERRLA
-Migraines
(does not dilate)
-African American
-Cardiovascular disease
-DM -senile cataracts may be age related
-Family History
-Cornea?? RF for developing cataracts:
-advanced age
Assessment Findings: -smoker
-blurred vision -high blood pressure
-halos -high blood sugar
-difficulty seeing at night -overweight
-difficulty focusing -sun exposure
-loss of peripheral vision
-pain around eyes Signs & Symptoms:
-headaches -decrease vision
-decrease color perception
-NORMAL PRESSURE=10-21
Surgery:
MEDICATION: TIMOLOL -implant
(Eye shields worn 1 week after surgery at night to
Beta Blocker contraindicated with:
avoid injury)
-asthma
-bradycardia
Medication:
-HF
-Heart Block Alfa-antagonist= Tamsulosin (MD SHOULD BE
-COPD AWARE)
Can cause a condition called intraoperative floppy
Steps to insert eye drops: iris syndrome
-wash hands
-head back
-lower lid down
-place dropper over eye
-have look up
-place drop
-have look down
-release
-close eye
-apply pressure to lacrimal duct for 3-5 min
Trabeculectomy Surgery
-helps improve drainage + dc IOP
Fields Study Test: -red light to test peripheral vision
, **Age Macular Degeneration (AMD) **Meningitis
-blurred smokey vision -inflammation of meninges around brain +
spinal cord
2 Types: Dry & Wet
3 types:
-fungal-dc immune system Ex. HIV-AIDS
-Dry cannot be reversed -viral-most common, recovery
-Only Tx: is for wet -Bacterial-Medical Emergency tx
medication drops do not cure
-Greatest Risk: Fever= Increases cerebral
Amster Grid Test metabolism and intracranial pressure
-should be performed for wet
-should be taught to do test at home if -Bacterial
(WET) is getting worse Nasal cultures must be done before
ANYTHING
Risk for MD -Encourage to take all antibiotics
-advanced age
-sun Medications:
-Dexamethasone: dc inflammation
Preventatives: -Most effective 15-20 min prior to first dose
-prevent eye strain of ABT
-avoid irritants -then Q6 hrs. x4 days
-never use someone’s eye med
-do not drive after applying drops -11-12yr old + high school & college
-OTC drops shouldn’t be taken longer than 3 students’ immunizations recommended
days
-Shock= B/P low as a sign
Signs & Symptoms:
-projectile vomiting
-nutchel rigidity
-photophobia
Tests:
Kernig Test:
Lay on back, knees high flex, pain is a
positive sign
-Lumbar Puncture
Determines fungal or viral
