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NURS 1556 Clinical Medications Worksheets

Generic Trade Classification Dose Route Time/frequency


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.

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