IMG-1984.jpg - MEDICATION metoprolol Lopressor REVIEW MODULE CHAPTER CATEGORY CLASS_Beta Blockers PURPOSE OF MEDICATION Expected Pharmacological Action

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Unformatted text preview: MEDICATION metoprolol ( Lopressor) REVIEW MODULE CHAPTER CATEGORY CLASS_Beta Blockers PURPOSE OF MEDICATION Expected Pharmacological Action . Used to treat angina and hypertension Therapeutic Use lowers risk of death or hospital stayfor Heart failure - High Blood pressure ( Hypertension) . Used in early phase of heart attack to lower risk of . Reduce heart rate / cardiac output at rest of upon exercise. Complications Medication Administration . tiredness reduced interest in sex . vomiting Route onset Peak Plasma Concentration dizziness Bradycardia . depression 1 min 20 min diarrhea gas/blueding Po I har 2 - 4 hr . constipation SOB, coughing, wheezing " rash nausea Halk life Duration stomach pain - dry mouth 3 - 8 hr 3 - hr . 5- 8 hr 10 - 20 hr Contraindications/Precautions . Known drug allergy . acute MI . second / third-degree AV Block- unless PT has a pacemaker Nursing Interventions . Hypotension . Take Apical Pulse & BP before administering. monitor BP, HR, + ECG during /Vadmin. Take several BP readings close to the end of a 12 h closing interval Interactions to evaluate adequacy of dosage for it Antidepressants - Prozac, Paxil w / Hypertension. Lab test- obtain baseline + periodic eval . Antihistamines - diphenhydramine ( Benadryl) of blood cell counts , blood glucose, liver, kidney fone Heart meds- me- Ruthmol monitor I . 0 , daily weight auscultate daily . meds used to treat heartburn / or stomach conditions- Zantac for pulmonary rates . . certain HIV drugs Client Education Teach how to take radial pulse Evaluation of Medication Effectiveness before each dose. Reduce insomnia or increased dreaming by avoiding late evening doses. . monitor Blood glucose Do not breast feed while taking wlbut talking to Physician first . do not alter dosage do not drive until known response Report immediately w/ any vision problems. ACTIVE LEARNING TEMPLATES THERAPEUTIC PROOFRUDE AT...
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  • Fall '17
  • Cardiology, pulse, Evaluation of Medication Effectiveness

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