A nurse is giving eye drops to a client with acute angle glaucoma. Which of the following medications should the nurse question? (Select all that apply.)

A. Acetazolamide (Diamox)
B. Pilocarpine (Pilocar)
C. Atropine (Isopto Atropine)
D. Latanoprost (Xalatan)
E. Timolol (Timoptic)
F. Epinephrine


C, E, F
Rationale: Atropine and epinephrine are mydriatics, which decrease the outflow of aqueous hu-mor, resulting in increased intraocular pressure (IOP). Diamox is a carbonic anhydrase inhibitor that decreases the formation of aqueous humor, Pilocar is a miotic that enhances outflow of aqueous humor, Xalatan is a prostaglandin agonist that improves outflow, and Timoptic is a beta blocker that decreases the formation of aqueous humor. All of these help decrease IOP.

Nursing

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