A client is prescribed oxymetazoline (OcuClear) ophthalmic solution for redness of the eye and eye irritation. Which statements are appropriate for the nurse to include in this client's teaching?
Standard Text: Select all that apply.
1. Transient stinging can occur.
2. Expect some dizziness.
3. Blurred vision is possible.
4. Headache or brow pain can occur.
5. Vomiting is a common occurrence with this drug.
Correct Answer: 1,3,4
Rationale 1: Oxymetazoline (OcuClear) is an alpha-1 adrenergic agonist. Activation of these receptors in the arterioles of the eye causes vasoconstriction and stinging.
Rationale 2: Oxymetazoline (OcuClear) is used as an ophthalmic solution and does not reach high levels in the blood or cause any dizziness.
Rationale 3: Oxymetazoline (OcuClear) is an alpha-1 adrenergic agonist. Activation of these receptors in the arterioles of the eye causes blurred vision and sensitivity to light.
Rationale 4: Oxymetazoline (OcuClear) is an alpha-1 adrenergic agonist. Headache or brow pain is a frequent side effect early on.
Rationale 5: Oxymetazoline (OcuClear) is an eyedrop used for conjunctival redness and does not cause vomiting.
Global Rationale: Oxymetazoline (OcuClear) is an alpha-1 adrenergic agonist. Activation of these receptors in the arterioles of the eye causes vasoconstriction and stinging, blurred vision and sensitivity to light, as well as headache or brow pain early on in treatment. Oxymetazoline (OcuClear) is used as an ophthalmic solution and does not reach high levels in the blood or cause any dizziness. Oxymetazoline (OcuClear) is an eyedrop used for conjunctival redness and does not cause vomiting.
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