Create
Learn
Share

IPDM I Wk 9 Glaucoma Part 2

rename
alchemist04's version from 2016-06-07 03:01

Section

Question Answer
MOA of B-blocker (remember CAB Slide #21)Decrease production of aqueous humor
T or F? B-blocker is B-1 selective and non selectiveTrue
T or F? 2 weeks of therapy needed for max effectFalse, 3 wks of therapy is needed for maximum effect
memorize

 

Question Answer
A Nurse at your hospital work asked you for names of B1 selective Ophthalmic drugs, Which ones would you give?(1) Betaxolol (Betoptic) (2) Levobetaxolol (Betaxon)
A PCP wanted to prescribe non-selective B-blocker and asked for your inputs, what are his options?(1) Timolol (Timoptic) (2) Levobunolol (Betagan) (3) Carteolol (Ocupress) (4) Metipranolol (OptiPranonl)
memorize

 

Question Answer
Why are sympathomimetics causes DDI with B-BlockersSympathomimetics are A/B-agonists and A-2 agonists, they cause opposite effect.
MOA of B-2 agonistIncrease trabecular outflow, Increase aqueous humor
MOA of A-2 agonistIncrease Uveoscleral outflow
MOA of A-1 agonistContract radial dilator muscle, causing Mydrasis (dilation of the pupils)
T or F? A-2 receptor influence Uveoscleral Outflow while B-2 receptors influence Trabecular OutflowTrue
memorize

 

Question Answer
A patient ask you if it is ok to use sympathomimetic A/B Agonist with Narrow/Closed angle Glaucoma. Is it Ok or not?No, It is contraindicated in Narrow/Closed angle glaucoma. In fact all Open Angle Glaucoma meds are Contraindicated in Close Angle Glaucoma
memorize

 

Question Answer
DipivefrinPropine, Q12, A/B Agonist
3 things about Sympathomimetic (A/B Agonist) (1)(1) Prodrug of epinephrine, solution
3 things about Sympathomimetic (A/B Agonist) (2)(2) Onset @ 30 mins, Peak @ 1hr
3 things about Sympathomimetic (A/B Agonist) (3)(3) Less systemic effects
memorize

 

Question Answer
ProstProstaglandin , QHS
OlolB-Agonist, Q12h
AmidesCarbonic hydrogenase inhibitors, Q8h
IsotopCholinergic/Parasympathometic, Varies
DinesA-2 Agonist Q8-12h
EfrinA/B agonist, Q12h
memorize

 

Question Answer
BimatroprostLumigan, Latisse
LatanaprostXalatan
TravoprostTravatan, Z
UnoprostoneRescula
TafluprostZioptan
memorize

 

Question Answer
BetaxololBetoptic - solution, Betoptic S - Suspension
TimololTimoptics, TimOptics XE, GFS gel
LevobunololBetagan
CarteololOcupress
MetipranololOptiPranolol
memorize

 

Question Answer
Which of these are Contraindications for B-Blockers (1) Hypotension (2) Blepharitis (3) Sympathomimetic (4) COPD (5) Bronchial Asthma (6) Conduction defectsCOPD and Bronchial Asthma
Which Ophthalmic agent could cause Sulfonyl hypersensitivityCarbonic Anhydrase Inhibitor
memorize

 

Question Answer
DipivefrinPropine
memorize

 

Question Answer
ApraclodineLopidine
BrimonidineAlphagan P
Brimonidine + TimololCombigan
memorize

 

Question Answer
PilocarpineIsopto-Carpine (Sol) Q4-Q12hr, Pilopine (Gel) QHS
CarbacholIsopto-Carbachol (Sol) Q8 -12hr
EchnothiophatePhospholine Iodine (powder) Q12-24 hr
memorize

 

Question Answer
BrinzolamideAzopt
DorzolamideTruspot
Dorzolamide + TimololCosopt
AcetazolamideDiamox (Tablet, Capsule and IV)
MethazolamideNeptazane (Tab)
memorize

 

Question Answer
SimbrinzaBrinzolamide + Brimonidine
memorize