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A 65-year-old male client was referred to an optometrist for evaluation of his developing eye proble

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A 65-year-old male client was referred to an optometrist for evaluation of his developing eye problem. The optometrist performed an air puff tonometry as part of a routine screening for a new pair of glasses. The client complaints his eyes were gritty and red, blurred vision, particularly upon awakening; these symptoms seemed to improve throughout the day. His optometrist revealed an open angle glaucoma after thorough diagnostic evaluation. His Intraocular pressure was OD 25, OS 28 by Tono-Pen tonometry. Direct and indirect ophthalmoscopy was done with a small, scattered retinal hemorrhages; optic discs appear normal with no cupping. Perimetry (visual field) testing: confirmed an early open-angle glaucomatous change, OU. Glaucoma therapy was then initiated, consisted of Latanoprost eyedrops once-daily and twice-daily of Timolol. Client’s medical history involving systemic hypertension, diabetes mellitus, and benign prostatic hypertrophy, all of which have been managed with systemic and maintenance medications. He takes metoprolol tartrate (Lopressor) for his hypertension.

 

Questions:

1. Will the client be able to discontinue his eyedrops once his intraocular pressures are within the 12.7 normal range? Explain your answer. 

2. What discharge teaching should the clinic nurse include for the client? 

3. Based on the assessment data presented, give 2 priority nursing diagnoses with nursing interventions.

4. Which people are most likely to develop glaucoma?

5. Is the patient likely to go blind?

6. What class of drug are Latanoprost and Timolol?

7. What are their mechanisms of action?

SCIENCE
HEALTH SCIENCE
NURSING

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