Eye anesthetics: Nursing pharmacology
Introduction0:00–0:31
Ophthalmic or eye anesthetics are medications used to induce a temporary loss of corneal sensation, including pain, and can be used for various reasons in ophthalmology, such as during comprehensive eye exams, and during brief ophthalmic procedures, like removal of foreign objects or corneal sutures, as well as surgery for cataracts or glaucoma.Now, commonly used eye anesthetics include proparacaine hydrochloride and tetracaine hydrochloride.
Mechanism of action0:31–0:55
As a result, eye anesthetics prevent the transmission of corneal sensation.Unfortunately, eye anesthetics can result in side effects, such as loss of the corneal blink reflex, and blurred vision.
Side effects0:55–1:15
In addition, clients may experience photophobia, dry, red eyes, and a stinging or burning sensation. There are no known contraindications for the use of eye anesthetics.Alright, when preparing to assist with administering an eye anesthetic, start by assembling the sterile local anesthetic field.
Contraindications & cautions1:15–1:20
Nursing considerations & Client education1:20–2:35
Ensure that all medications are labeled with name, strength, amount, and expiration date, and that ocular solutions are separated from those not used intraocularly.
Lastly, be sure to verify which eye has been prescribed the eye anesthetic. Next, let your client know that the eye anesthetic will help decrease their pain and discomfort during the procedure.
Caution them that it may take some time for the effects of the medication to wear off after the procedure, so be sure to advise them to wear eye protection until their corneal blink reflex returns; and until their blurriness resolves, caution them to avoid driving.
Also, stress the importance of avoiding scratching or rubbing their affected eye after their procedure. Finally, evaluate the therapeutic response of the medication by monitoring your client’s pain level during their procedure and immediately after the procedure.
Alright, as a quick recap… Ophthalmic or eye anesthetics are medications used to induce a temporary loss of corneal sensation, including pain.
Review2:35–3:18
Side effects can include loss of the corneal blink reflex and blurred vision. Nursing considerations include preparing for the procedure, providing client teaching, and monitoring for side effects and the
| EYE ANESTHETICS | ||
| DRUG NAME | proparacaine hydrochloride (Alcaine), tetracaine hydrochloride (Altacaine) | |
| CLASS | Eye anesthetics | |
| MECHANISM OF ACTION | Reversibly block sodium channels on the sensory neurons of the cornea and prevent the transmission of corneal sensation | |
| INDICATIONS |
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| ROUTE(S) OF ADMINISTRATION |
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| SIDE EFFECTS |
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| CONTRAINDICATIONS AND CAUTIONS |
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| NURSING CONSIDERATIONS | Assessment and monitoring
Client education
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Author: Antonia Syrnioti, MD
Author: Ashley Mauldin, MSN, APRN, FNP-BC
Illustrator: Robyn Hughes, MScBMC
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- "Pharmacology: A Patient-Centered Nursing Process Approach, 9th edition" Elsevier Canada (2020)
- "Mosby’s 2023 Nursing Drug Reference, 36th edition" Mosby (2022)
- "Saunders Comprehensive Review for the NCLEX-RN, 9th Edition" Saunders (2022)
- "Mosby’s® Diagnostic and Laboratory Test Reference, 15th edition" Mosby (2020)
- "An Analysis of the Use of Proparacaine in Cataract Surgery" Cureus (2022)
- "Does Topical Proparacaine Improve Postoperative Comfort After Strabismus Surgery?" Clin Ophthalmol (2019)
- "Age and Sex Variation in the Duration of Action and Corneal Touch Threshold (CTT) following Instillation of 0.5% Topical Ophthalmic Proparacaine and Tetracaine Hydrochlorides" J Ophthalmol (2021)
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