0%(1)0% menganggap dokumen ini bermanfaat (1 suara)
800 tayangan1 halaman
Metoprolol Trade Name Lopressor Classification Antihypertensives Route PO time / frequency Twice a day Peak Unknown Onset 15 minutes Duration 6 to 12 hours For IV meds, compatibility with IV drips and / or solutions N / a (Why med ordered) Hypertension, angina pectoris, prevention of MI and decreased mortality in patients with recent MI.
Metoprolol Trade Name Lopressor Classification Antihypertensives Route PO time / frequency Twice a day Peak Unknown Onset 15 minutes Duration 6 to 12 hours For IV meds, compatibility with IV drips and / or solutions N / a (Why med ordered) Hypertension, angina pectoris, prevention of MI and decreased mortality in patients with recent MI.
Hak Cipta:
Attribution Non-Commercial (BY-NC)
Format Tersedia
Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
Metoprolol Trade Name Lopressor Classification Antihypertensives Route PO time / frequency Twice a day Peak Unknown Onset 15 minutes Duration 6 to 12 hours For IV meds, compatibility with IV drips and / or solutions N / a (Why med ordered) Hypertension, angina pectoris, prevention of MI and decreased mortality in patients with recent MI.
Hak Cipta:
Attribution Non-Commercial (BY-NC)
Format Tersedia
Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
Name Name Antihypertensives 25 mg PO Twice a day Metoprolol Lopressor Peak Onset Duration For IV meds, compatibility with IV drips and /or Unknown 15 minutes 6 to 12 hours solutions N/A (Why med ordered) Nursing Implications (what to focus on) Hypertention. Angina pectoris, prevention of MI and Contraindications/warnings/interactions decreased mortality in patients with recent MI. Management Uncompensated CHF, pulmonary edema, cardiogenic shock, of stable, symptomatic heart failure due to ischemic, bradycardia or heart block. Renal or hepatic impairment. hypertensive, or cardiomyopathic origin. Geriatric patients=increased sensitivity to beta blockers, initial dose reduction recommended. Allergic reactions. Mechanism of action and indications Common side effects Blocks stimulation of beta1 adrenergic receptors. Does not Fatigue, weakness, anxiety, depression, bradycardia, CHF, usually affect beta2 adrenergic receptor sites. Decreased Pulmonary edema, hypotension, hyperglycemia, hypoglycemia, blood pressure and heart rate. Decreased frequency of attacks dry mouth, flatulence, insomnia, blurred vision, heartburn, of angina pectoris. Decreased rate of cardiovascular mortality nausea, vomiting, joint pain, drug-induced lupus syndrome. and hospitalization in patients with heart failure. Interactions with other patient drugs, OTC or Lab value alterations caused by medicine herbal medicines (ask patient specifically) May increase BUN, serum lipoprotein, potassium, triglyceride, Pt on lasix which can interact with this drug and uric acid levels. May cause increased ANA titers, blood glucose levels, serumalkaline phosphatase, LDH, AST and ALT levels. Be sure to teach the patient the following about this medication Take medication as prescribed every day at the same time, take missed doses as soon as possible up to 8 hours before next dose. Check pulse daily and blood pressure biweekly, avoid driving or alert requiring activities, consult professional before taking OTC, change positions slowly, may increase sensitivity to cold, inform professionals of regime before treatment, continue additional therapies for hypertension. Nursing Process- Assessment Evaluation Assessment Why would you hold or not give this Check after giving (Pre-administration med? Monitor vital signs and ECG every 5 to assessment) Allergy 15 minutes and for several hours after. Vital signs, frequency of refills If apical pulse is less than 50 beats per minute or if Monitor intake and output ratios and for compliance. an arrhythmia occurs, withhold and call the primary daily weights. Monitor for signs and care provider. symptoms of CHF.