The nurse is administering dipivefrin (Propine) eyedrops to a patient who has just started therapy with these drops. What potential systemic effect will the nurse monitor the patient for after this medication is given?
a. Hypotension
b. Bradycardia
c. Chest pain
d. Increased heart rate
Answer: d. Increased heart rate
Although systemic effects associated with the use of sympathomimetic mydriatics such as dipivefrin are uncommon, they are theoretically possible, especially with the use of larger doses or prolonged drug therapy. They include cardiovascular effects, such as extrasystoles, tachycardia, and hypertension. Other effects that may be noticed are headache and faintness. Hypotension, bradycardia, and chest pain are not systemic effects of these drugs
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