Medical No Nos

More documents

Recommendations

Info

9/11/11Beta Blocker’s in Eyecare• Are used to inhibit aqueous production by blocking beta-2 receptorson nonpigmented ciliary epithelium.• Side effects: bradycardia, bronchospasm, (contraindicated inasthmatics), hypotension, depression, lethargy, decreased libido,impotence.• DO NOT administer to asthmatics (reactive airway disease), orindividuals with chronic obstructive pulmonary disease (COPD) withreduced pulmonary function.• DO NOT administer to individuals with heart conduction anomalies(heart block), without a pacemaker, or other rhythm disturbanceswithout consulting the individual cardiologist or medical provider.Systemic hyperosmotic agents• Oral glycerin, and iv hyperosmotics such as mannitol,are used to lower IOP by pulling water out of thevitreous.• In doing so, the shift fluid from the intracellular, andinterstial compartment, to the vascular compartment.• From a cardiopulmonary perspective, volume overloadis a possibility, in compromised individuals.Systemic hyperosmotic agents• DO NOT give systemic hyperosmotics to individualswith Congestive Heart Failure (CHF).• DO NOT give systemic hyperosmotics to individualswith right-sided heart failure (cor pulmonale).• DO NOT give systemic hyperosmotics to individualsin renal failure.• DO NOT give systemic hyperosmotics to individualswith sickle cell disease.4
9/11/11Anticoagulant Therapy and AMDDietary Recommendations• Lutein and zeaxanthin are the two carotenoid pigments thatseem to be most important in guarding against AMD.• Found in green and yellow produce.• Zeaxanthin is found in yellow corn, yellow and orangepeppers, winter squash, carrots, yams, cantaloupes, peaches,oranges, mangos, and nectarines.• Lutein is found in green leafy vegetables such as the lettuce,spinach, and cabbage families (cabbage, broccoli, brusselsprouts, collard or mustard greens, kale), and parsley andit’s relatives (celery, cilantro, dill and fennel).Anticoagulant Therapy and AMDDietary Recommendations• Many of these same foods are contraindicated in individuals onanticoagulant therapy with Warfarin (coumadin).• Foods to avoid while on anticoagulant therapy because they arerich in Vitamin K and therefore reduce the effect of coumadin :– Kale– Spinach– Brussel sprouts– Collard greens– Mustard greens– Chard– Green teaAnticoagulant Therapy and AMDDietary Recommendations DO NOT recommend these foods in patients onanticoagulant therapy with warfarin or coumadin. Youcan instead advise them to utilize direct supplementswhich do not contain vitamin K.5
Page 1 and 2: 9/11/11Topical Steroids in Corneal
Page 3: 9/11/11Sickle Cell Disease Factors

Medical No Nos

Create successful ePaper yourself

Delete template?

Save as template?