aware of side effects and to let health professional know of severe side effects such as slow pulse, difficulty breathing, wheezing, cold hands or feet, dizziness, light-headedness, confusion, depression, rash, fever, sore throat, unusual bleeding, or bruising occur. Patients with hypertension should continue additional therapies for hypertension. EVALUATION: decrease in BP, reduction in frequency of angina, and prevention of MI. Why is this drug prescribed for your patient? Decreased cardiac output. CONTRAINDICTIONS AND PRECAUTIONS Contraindicated in: Uncompensated HF, pulmonary edema, cardiogenic shock, and bradycardia or heart block. Use Cautiously in: Renal impairment, hepatic impairment, Geri: ↑ sensitivity to bet blockers, pulmonary diease, diabetes mellitus, thyrotoxicosis, allergic reactions, OB: crosses the placenta and may cause fetal neonatal bradycardia, hypotension, hypogyclycemia, or repiratory depression, Lactation: Pedi: safety not established. NURSING IMPLICATIONS Assessment: Monitor BP, ECG, and pulse frequently during dose adjustment period and periodically during therapy. Monitor intake and output ratios and daily weights. Assess HP routinely (dyspnea, rales/crackles, weight gain, peripheral edema, jugular venour distention).
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- Fall '19