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Medical-Surgical Nursing, 9th Ed., Ignatavicius & Workman, 2018 Nursing (RN) School Study Aid


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47 - Care of Patients With Eye and Vision Problems
7 Picmonics to Learn | 11 mins

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Cataract
Mechanism
Age-related
Assessment
No Pain
Cloudy Opaque Lens
Decreased Visual Acuity
Occurs Gradually
Treatment
Surgery
1 min
Eye Medication Administration
Procedure
Supine with Neck Hyperextended
Wash Away Crusts
Cotton Ball on Cheekbone
For Ophthalmic Drops
Instill Drops into Conjunctival Sac
Repeat if Missed or Patient Blinks
5 Minutes Before 2nd Medication
For Ophthalmic Ointment
Thin Stream Along Inner Edge
Inner Canthus to Outer Canthus
1 min
Primary Open-Angle Glaucoma (POAG - Chronic)
Mechanism
Flow of Aqueous Humor Slowed
Signs and Symptoms
Slow Onset
No Pain
Tunnel Vision
IOP 22-32mm Hg
Considerations
Drug Therapy
1 min
Primary Angle-Closure Glaucoma (PACG - Acute)
Mechanism
Rapid Increase in IOP
Signs and Symptoms
Rapid Onset
Pain
Blurred Vision
Halos Around Lights
Nausea and Vomiting
IOP over 30 mm Hg
Considerations
Drug Therapy
Surgery
1 min
Pilocarpine (Pilocar)
Mechanism
Direct Cholinergic Agonist
Contracts Iris Sphincter
Contracts Ciliary Muscle
Indications
Xerostomia
Glaucoma
Side Effects
Detached Retina
Decreased Visual Acuity
Eye Irritation
Cholinergic Effects
Considerations
Avoid with Asthma or Bradycardia
2 mins
Age-Related Macular Degeneration (AMD)
Mechanism
Dry (nonexudative)
Wet (exudative)
Signs and Symptoms
Scotomas
Blurred, darkened vision
Loss of central vision
Distortion of vision
Considerations
Drug Therapy
Surgery
Low-vision assistive devices
1 min
Detached Retina
Assessment
Flashes of Light
Floaters
Curtain Like Shadow
Interventions
Eye Patch
Bed Rest
Surgical Emergency
Considerations
No Vigorous Activity
1 min

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