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
- Redness of the eye
- Decreased or blurred vision
- Seeing colored rainbows or halos
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.