What is the most important action for the nurse to perform after administering eye drops to a patient who is prescribed pilocarpine (Ocu-Carpine)?
a. Place the patient in the supine position.
b. Wipe the excess drug from the patient's skin.
c. Instruct the patient to keep the eyes closed for 2 minutes.
d. Check pupillary responses by shining a penlight into each eye.
B
Pilocarpine is a cholinergic drug that can be absorbed through the skin and cause many systemic effects, including headache, flushing, increased saliva, and sweating. If excessive amounts are absorbed, the patient can develop more severe problems such as asthma, hypotension, heart block and other rhythm problems, abdominal cramps, diarrhea, urinary incontinence, vomiting, and dizziness. The usual dosage is two drops per eye, which increases the chances that some drug will overflow onto the skin. Wiping any drug that falls on the skin prevents these severe problems.
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