A nurse administers timolol [Timoptic] ophthalmic drops to a patient who has glaucoma. The patient reports stinging of the eyes shortly after the drops were administered. What will the nurse do?
a. Monitor the patient's heart rate, respira-tory rate, and blood pressure.
b. Notify the provider that the patient shows signs of angle-closure glaucoma.
c. Reassure the patient that these are loca-lized, reversible effects of the drug.
d. Request an order for an antihistamine to treat this allergic response to the drug.
C
Local effects of timolol and other beta blockers are generally minimal, but transient ocular stinging can occur. There is no need to monitor vital signs, because this does not represent a sys-temic reaction. This is not a sign of angle-closure glaucoma. Antihistamines will not help.
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