Why are carbonic anhydrase inhibitors not recommended for use in ...

[geodog55]

Why are carbonic anhydrase inhibitors not recommended for use in children with glaucoma?
 
  a. Their use increases the risk for cataracts.
  b. Growth is inhibited with use of carbonic anhydrase inhibitors.
  c. These drugs could reduce intraocular pressure below normal levels.
  d. Carbonic anhydrase inhibitors are known to cause birth defects in animals.

Question 2

Which question is most important for the nurse to ask a patient who is prescribed acetazolamide (Diamox) before administering the first dose?
 
  a. Do you have diabetes?
  b. Are you allergic to sulfa drugs?
  c. How long have you had glaucoma?
  d. Do you eat grapefruit or drink grapefruit juice?

[Melissahxx]

Answer to Question 1

B
Children have a limited time for normal growth. Once the growth plates in the long bones close, growth in height does not occur. Carbonic anhydrase inhibitors slow children's growth and con-tribute to shorter stature in final adult height.

Answer to Question 2

B
Acetazolamide has a chemical structure similar to sulfa drugs. Patients who have allergies to sulfa drugs often have an allergic reaction to acetazolamide. Although acetazolamide can increase or decrease blood glucose levels, and knowing whether the patient has diabetes is also important, an allergy to sulfa drugs is more likely to result in an adverse reaction.

[geodog55]

Thanks for the timely response, appreciate it

[olderstudent]

Gracias!