Name : Barney G. Fontanilla Patient’s Name : E.G.

Section/Group : BSN 3D/Group 2 Age / Sex : 54 years old / Male

Date of Exposure : July 26 – 30, 2010 cc : dizziness
Area of Exposure : Male Medical Ward – BOLMSH Admitting Diagnosis : Hypertensive Urgency
Name of C.I. : Ms. Marji P. Piccio, R.N., M.N.

DRUG STUDY
NAME OF DOSAGE, MECHANISM OF INDICATION CONTRAINDICATIONS ADVERSE REACTIONS NURSING CONSIDERATIONS
DRUG FREQUENCY ACTION
& ROUTE

Brand Name: Dose: Unknown. A • Hypertension • Contraindicated in CNS: • Always check patient’s apical pulse rate
Lopresor 50 gram selective beta patients hypersensitive to Fatigue, dizziness, before giving drug. If it’s slower than 60
blocker that drug or other beta blockers. depression bpm, withhold drug and call prescriber
Generic Frequency: selectively blocks immediately.
Name: BID beta1 receptors; • Use cautiously in patients CV:
Metoprolol decreases cardiac with heart failure, diabetes Bradycardia, hypotension, • Monitor blood pressure frequently; drug
tartrate Route: output, peripheral or respiratory or hepatic heart failure, AV block, masks common signs and symptoms of
Per orem resistance and disease. edema shock.
Classification: cardiac oxygen
Antihypertensi consumption; and • Contraindicated in GI: • When stopping therapy, taper dose over
ve depresses renin patients with sinus Nausea, diarrhea 1 to 2 weeks.
secretion. bradycardia, greater than
first-degree heart block, Respiratory:
cardiogenic shock or overt Dyspnea
cardiac failure when used to
treat hypertension or angina. Skin:
When used to treat MI, drug Rash
is contraindicated in patients
with heart rate less than 45
bpm, greater than first-
degree heart block, PR
interval of 0.24 second or
longer with first-degree
heart block, systolic blood
pressure less than 100
mmHg or moderate to
severe cardiac failure.