Exam 5|NU 578 Exam 5 Study Guide| Latest Updated|Guaranteed A+ Score Guide

Eye/Ear/Skin Use questions or skin infections, Ustekinumab (Stelara) Use of topical steroids Use of pilocarpine (eye) Used to treat glaucoma and other eye conditions (ocular hypertension) Tx of macular degeneration There is no treatment. Photodynamic therapy or anti-angiogenic drugs (stop new blood vessels from forming and stop the leaking from the abnormal vessels) is used for wet amd, Tx of glaucoma—when looking at beta blockers, remember your patient’s comorbid conditions! • Prostaglandins. These increase the outflow of the fluid in your eye, helping to reduce eye pressure. Medicines in this category include latanoprost (Xalatan), travoprost (Travatan Z), tafluprost (Zioptan), bimatoprost (Lumigan) and latanoprostene bunod (Vyzulta). Possible side effects include mild reddening and stinging of the eyes, darkening of the iris, darkening of the pigment of the eyelashes or eyelid skin, and blurred vision. This class of drug is prescribed for oncea-day use. • Beta blockers. These reduce the production of fluid in your eye, helping to lower eye pressure. Examples include timolol (Betimol, Istalol, Timoptic) and betaxolol (Betoptic S). Possible side effects include difficulty breathing, slowed heart rate, lower blood pressure, impotence and fatigue. This class of drug can be prescribed for once- or twice-daily use depending on your condition. • Alpha-adrenergic agonists. These reduce the production of the fluid that flows throughout the inside of your eye. They also increase the outflow of fluid in your eye. Examples include apraclonidine (Iopidine) and brimonidine (Alphagan P, Qoliana). Possible side effects include irregular heart rate, high blood pressure, fatigue, red, itchy or swollen eyes, and dry mouth. This class of drug is usually prescribed for twice-daily use but sometimes can be prescribed for use three times a day. • Carbonic anhydrase inhibitors. These medicines reduce the production of fluid in your eye. Examples include dorzolamide and brinzolamide (Azopt). Possible side effects include a metallic taste, frequent urination, and tingling in the fingers and toes. This class of drug is usually prescribed for twice-daily use but sometimes can be prescribed for use three times a day. • Rho kinase inhibitor. This medicine lowers eye pressure by suppressing the rho kinase enzymes responsible for fluid increase. It is available as netarsudil (Rhopressa) and is prescribed for oncea-day use. Possible side effects include eye redness and eye discomfort. • Miotic or cholinergic agents. These increase the outflow of fluid from your eye. An example is pilocarpine (Isopto Carpine). Side effects include headache, eye ache, smaller pupils, possible blurred or dim vision, and nearsightedness. This class of medicine is usually prescribed to be used up to four times a day. Because of potential side effects and the need for frequent daily use, these medicines are not prescribed very often anymore. Topical use of benzoyl peroxide and steroids; use of isotretinoin (to treat severe, disfiguring nodular acne (cystic acne) after other acne meds or antibiotics have been attempted) – This works by decreasing facial oil (sebum) production SE: dry lips/mouth, swelling of eyelids/lips, crusty skin, nosebleeds, GI upset, thinning of har IF allergy to vitamin A related drugs or peanuts may not be able to use; hydrogen peroxide; tx of lice (Permethrin lotion 1% Nix; Poss. Ivermectin(Stromectol) two doses 8 days apart, Malathion topical prescription drug – highly flammable not recc for pregnancy or children 2 and under Drugs Used in Cancer Chemotherapy General questions on why are antimetabolites effective on cancer tx – kills off rapidly growing cell populations Gingko biloba – how it affects clotting, avoid aspirin is answer Uses of/SE of Leuprolide - management and treatment of prostate cancer, endometriosis, uterine fibroids, precocious puberty, and other sex hormone-related conditions. - SE: Hot flashes, decrease in sexual desire, decrease testicle size, gi upset, memory difficulties, swelling of feet/hands, vaginal discharge/dryness/itching/spotting, breast tenderness