Nursing Interventions and Tips on How to Answer Nursing Exam Questions on Increased Intra Ocular Pressure Instructions Step 1 Know what may cause it Increased intra ocular pressure is may be caused by glaucoma. In this case the trabecular network which drains the fluid from the eyes is blocked so there is no place for the fluid to go due to the obstruction. Step 2 Know the signs Pain in and around the eyes may occur in transient attacks. The person may be nauseous and may also vomit. Their vision may become blurred. Measurement of the persons IOP by tonometry may be greater than 50 mm Hg. Step 3 Know methods of preventing increasing IOP Avoiding bending over at the waist prevents increased IOP Not straining during movements prevents increased IOP (give stool softeners) Not coughing or sneezing prevents increased IOP Avoid medication that increase IOP like anticholinergics and corticosteroids unless prescribed by physician in a case where the benefits outweigh the risk Step 4 Increased IOP is a medical emergency that requires immediate treatment and exams usually test to see if you know what to do in an emergency. When you come across questions on increased IOP, keep these tips in mind.
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