COURSE IN THE WARD

DATE/TIME
3-31-16
3:10 pm
1 wk PTC
(+) Blurring of
Vision
(+) Headache
occasionally

DOCTORS
ORDER
>Pls admit to

OPTHA WARD
>secure consent for
admission
>DAt then NPO
postmidnight
>Labs: CBC, FBS in
Am
12 L ECG

>Mannitol 500 cc,

let 200 cc FD now
then let 300 cc to
run for 2 hours then
100 cc q 8 hrs
>IVF to ff: PNSS iL
at KVO

RATIONALE
To provide
medical
treatment to
patient and to
monitor patients
condition
For legal
documentation
of patients
approval of
admission.

>increases osmotic
pressure of
glomerular
reabsorption of
water and
electrolytes. Drugs
elevates plasma
osmolality and
increases water
flow into
extracellular fluid

>Acetazolamide
250 mg tab, 1 tab
now then OD, TID

>promotes renal
excretion of sodium,
potassium,
bicarbonate, and
water. In glaucoma,
it reduces
intraocular
pressure.

>Timolol eye drop ,

I drop now then
BID, OU

>reduce formation,
and possibly
increase outflow of
aqueous humor

>Brimonidine eye
drop , 1 drop TID,
OU

>reduces aqueous
humor production
and increases
uveoscleral outflow

>Pilocarpine eye

> Directly stimulates

NURSING
RESPONSIBILITIES
Secure consent

Administer
meds/eye drops w/
the right route, time,
and dosage.

drop, 1 drop q 2 hrs, cholinergic

OU
receptors in the eye
causing miosis (by
contraction of the
iris sphincter), loss
of accommodation
(by constriction of
ciliary muscle), and
lowering of
intraocular pressure
(with decreased
resistance to
aqueous humor
outflow)
>Database on NOD

7 pm

4-1-16

4-2-16

4-3-16
4-4-16

>Monitor VS q 4 hrs
>refer
>Travoprost eye
drop, 1 drop OD OU
HS
>IVF to ff: PNSS iL
at KVO
>Continue Mannitol
>Continue eye
drops
>refer accordingly
>IVF to ff: PNSS iL
at KVO
>cont Mannitol
>cont other meds
>refer accordingly
>cont meds
>refer accordingly
>MAY GO HOME
>meds
>1. Travoprost ;all
to OS at bedtime
2. Timolol eyedrop
all to OS BID
3. Pilocarpine eye
drop all to OS q 2h
>ff up check up
after 1 week at eye
clinic

>Monitor V/S
Administer
meds/eye drops w/
the right route, time,
and dosage.