Nebulised ipratropium glaucoma — GPhC CRA MCQ
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Correct answer: E — Seek immediate specialist assessment for possible acute angle-closure glaucoma and prevent further ocular exposure
Explanation lettering: C = shown as A · A = shown as B · B = shown as C · E = shown as D · D = shown as E
A understates a sight-threatening syndrome. B has no clinical basis and risks repeat exposure. C delays urgent treatment. D is correct: ocular ipratropium can precipitate acute narrow-angle glaucoma; pain, redness, blurred vision and halos require immediate specialist advice or urgent assessment, and future doses should use a mouthpiece or properly fitting mask to avoid the eyes. E is too absolute: the issue is acute management and exposure prevention, not permanent cessation of all inhaled medicines.
Reference: Atrovent UDVs SmPC. https://www.medicines.org.uk/emc/product/8028/smpc