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27 Cards in this Set
- Front
- Back
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A brand of metoprolol is?
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Lopressor
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The pharmacologic action of metoprolol is?
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beta blocker
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Therapeutic classification of metoprolol is?
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antianginal
antihypertensive |
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The indications for metoprolol use is?
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hypertension
angina pectoris prevention of MI management of stable symptoms (class II or III) heart failure due to ischemic, hypertensive, or cardiomyopathic origin |
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Unlabeled uses for metoprolol are?
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ventricular arrhythmias/
tachycardia (Davis doesn't have metoprolol listed as antidysrhythmic agent) migraine prophylaxis tremors aggressive behavior drug-induced akathisia anxiety |
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Which beta adrenergic receptors does metoprolol block?
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beta 1 (myocardial)
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Which beta adrenergic receptors does metoprolol NOT block?
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beta 2 (pulmonary, vascular,
uterine) |
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What are the therapeutic effects of metoprolol?
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decreased blood pressure and
heart rate decreased frequency of attacks of angina pectoris decreased rate of CV mortality and hospitaliza- tion with heart failure |
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What should nurse monitor for a patient on metoprolol?
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blood pressure
ECG pulse |
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Monitor VS and ECG how often?
if heart rate is less than 40 bpm, especially if cardiac output is also decreased |
every 5-15 minutes during and for several hours after parenteral administration...administer atropine 0.25-0.5 mg IV when?
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What else should be monitored concerning CHF?
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I & O
daily weights symptoms of CHF: dyspnea rales/crackles weight gain peripheral edema jugular venous distention |
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What kind of attack should be assessed for during therapy?
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anginal
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What lab results may INCREASE when taking metoprolol?
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BUN
serum lipoprotein potassium triglyceride uric acid levels ANA titers blood glucose levels serum alkaline phophatase, LDH, AST, and ALT levels |
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Take which pulse before administering metoprolol?
50 bpm or if arrhythmia occurs...what should nurse do if this happens? |
apical...withhold medication if pulse is less than?
notify physician |
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When is a good time to administer metoprolol?
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with meals or directly after eating
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Instruct patient to take med as directed, at the same time each day, even if feeling well...if dose missed, what then?
up to 8 hrs before next dose |
don't skip if possible, don't double up...how long does patient have to take a missed dose?
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Abrupt withdrawal of metoprolol may precipitate?
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life-threatening arrhythmias, hypertension, or MI
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Don't drive. Metoprolol may cause?
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drowsiness
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Change positions slowly to minimize?
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hypotension
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Metoprolol may cause increased sensitivity to?
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cold
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Consult physician before taking OTC meds, esp?
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cold preparations...avoid caffeinated products as well
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What should a diabetic monitor for closely and what symptoms might occur while taking metoprolol?
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monitor blood glucose
look for: weakness malaise irritability fatigue (med does not block sweating as a sign of hypoglycemia) |
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Advise patient to notify hcp if?
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slow pulse
difficulty breathing wheezing cold hands and feet dizziness light-headedness confusion depression rash fever sore throat unusual bleeding bruising |
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Concerning hypertension...reinforce need to continue additional therapies for hypertension which are?
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weight loss
sodium restriction stress reduction regular exercise moderation of alcohol consumption smoking cessation |
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Effectiveness of therapy can be demonstrated by?
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decrease in blood pressure
reduction in frequency of anginal attacks increase in activity tolerance prevention of MI |
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<Case study #8: angina pectoris...medications prescribed on discharge two days following hospitalization for angina pectoris?>
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<metoprolol (Lopressor)
100 mg qd atorvastatin (Lipitor) 20 mg qd NTG 0.4 mg SL 1 q 5 min X 3 prn chest pain> |
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<Case study #8: angina pectoris
What should nurse teach patient about metoprolol (Lopressor)?> |
<decreases blood pressure and
heart rate monitor before administration> |
