Latanoprost (Xalatan) Flashcards

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Questions and Answers

What is the classification of Latanoprost?

  • Carbonic anhydrase inhibitors
  • Alpha agonists
  • Prostaglandin analogues (correct)
  • Beta-blockers

What are the therapeutic uses of Latanoprost?

Reduce intraocular pressure in glaucoma.

What contraindications are associated with Latanoprost?

Cautions in clients with a torn or absent lens, intraocular inflammation, or risk of macular edema, respiratory distress.

What are common side effects of Latanoprost?

<p>Brown pigmentation of the iris, darkening of the eyelid, blurred vision, itching, excessive tearing, length and thickness in eyelashes.</p> Signup and view all the answers

What are some adverse reactions that may occur with Latanoprost?

<p>Retinal embolus, detachment, and vitreous hemorrhage in clients with diabetic retinopathy.</p> Signup and view all the answers

What drug-lab-food interaction should be noted with Latanoprost?

<p>Concomitant use with eye drops containing thimerosal causes Latanoprost to precipitate out of solution.</p> Signup and view all the answers

What nursing interventions are important when administering Latanoprost?

<p>Close observations during the first dose, assessing medical history, vital signs, baseline visual acuity, and listening for pulmonary crackles and wheezes.</p> Signup and view all the answers

What client education should be provided for Latanoprost?

<p>Take full course of medication as prescribed, avoid sudden discontinuation without doctor approval, expect brown pigmentation of iris, and teach how to administer eye drops.</p> Signup and view all the answers

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Study Notes

Classification of Drug

  • Latanoprost is classified as a prostaglandin analogue.
  • Primarily used as an antiglaucoma medication.

Therapeutic Uses

  • Effective in reducing intraocular pressure in patients with glaucoma.

Contraindications

  • Use with caution in patients with:
    • Torn or absent lens.
    • Intraocular inflammation.
    • Risk of macular edema.
    • Respiratory distress.

Common Side Effects

  • May cause brown pigmentation of the iris.
  • Darkening of the eyelid can occur.
  • Symptoms such as blurred vision, itching, and excessive tearing are common.
  • Notable effects include increased length and thickness of eyelashes.

Adverse Reactions

  • Rare but serious complications include:
    • Retinal embolus.
    • Retinal detachment.
    • Vitreous hemorrhage, particularly in patients with diabetic retinopathy.

Drug-Lab-Food Interactions

  • Concomitant use with eye drops containing thimerosal is contraindicated as it causes latanoprost to precipitate out of solution.

Nursing Interventions and Considerations

  • Closely monitor patients during the first dose administration.
  • Conduct thorough assessments including:
    • Medical history (allergies and herbal supplements).
    • Vital signs.
    • Baseline visual acuity.
    • Respiratory assessment for crackles and wheezes.

Client Education

  • Advise patients to complete the full course of medication as prescribed.
  • Stress the importance of not stopping the medication abruptly without a doctor's approval.
  • Instruct to avoid medications that could elevate intraocular pressure (IOP).
  • Patients should be informed about the potential for brown iris pigmentation, eyelid darkening, and excessive tearing.
  • Teach proper administration techniques for eye drops.

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