A 65-year-old patient is being evaluated for glaucoma. Which information given by the patient has implications for the patient's treatment?
a. "I use aspirin when I have a sinus headache."
b. "I have had frequent episodes of conjunctivitis."
c. "I take metoprolol (Lopressor) daily for angina."
d. "I have not had an eye examination for 10 years."
ANS: C
It is important to note whether the patient takes any ?-adrenergic blockers because this classification of medications is also used to treat glaucoma, and there may be an increase in adverse effects. The use of aspirin does not increase intraocular pressure and is safe for patients with glaucoma. Although older patients should have yearly eye examinations, the treatment for this patient will not be affected by the 10-year gap in eye care. Conjunctivitis does not increase the risk for glaucoma.
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