23 February 2012

What is Glaucoma?Nursing Care Primary Nursing Diagnosis and Intervention

Glaucoma is an acute or chronic condition in which there is an increase of intraocular pressure (IOP), which leads to damage of the retina and optic nerve, with resulting visual field loss.

Cause of Glaucoma
Glaucoma causes include elevated eye pressure (called intraocular pressure or IOP) due to the eye’s inability to drain fluid efficiently.

Symptoms of Glaucoma
  • Severe eye or brow pain
  • Headache
  • Nausea
  • Vomiting
  • Redness of the eye
  • Decreased or blurred vision
  • Seeing colored rainbows or halos
Primary Nursing Daignosis
Sensory and perceptual alterations (visual) related to nerve fiber destruction caused by increased IOP

Nursing Intervention for Glaucoma Client

Monitor blood pressure, pulse, and respiration every 4 hours.
Monitor the degree of eye pain every 30 minutes during the acute phase.
Monitor input and output every 8 hours while receiving intravenous osmotic agent.
Monitor visual acuity at any time before hatching ophthalmic agents.
Give appropriate instructions optalmic agent for glaucoma. Inform your doctor if :
        urinary output of less than 240 ml / hour
        No loss of pain in the eye within 30 minutes of drug therapy
        Decrease in constant visual acuity.
Prepare patients for surgery
Maintain bed rest in semi-Fowler position. Prevent increase in IOP :
    Instruct to avoid coughing, sneezing, straining, or placing the head below the pelvic
    Provide quiet environment and avoid light.
    Give anlgetic prescription and evaluation of its effectiveness.