Atenolol Drug Therapy PDF

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Drug Study Trade Name(s): Tenormin

Generic Name: atenolol

Drug Classification: Therapeutic: antianginals, antihypertensives Pharmacologic: beta blockers Therapeutic Uses: Decreased BP and heart rate. Decreased frequency of attacks of angina pectoris. Prevention of MI.

Maximum Dosage/24 hours: 100 mg/day

Possible Routes of Administration: PO

Usual Dosage and Frequency: 25-50 mg once daily This Patient’s Dose and Frequency: 25 mg/daily

Mechanism of Action: Blocks stimulation of beta1(myocardial)-adrenergic receptors. Does not usually affect beta2(pulmonary, vascular, uterine)-receptor sites

Adverse Effects: CNS: fatigue, weakness, anxiety, depression, dizziness, drowsiness, insomnia, memory loss, mental status changes, nervousness, nightmares. EENT: blurred vision, stuffy nose. Resp: bronchospasm, wheezing. CV: BRADYCARDIA, HF, PULMONARY EDEMA, hypotension, peripheral vasoconstriction. GI:constipation, diarrhea,qliver enzymes, nausea, vomiting. GU: erectile dysfunction,plibido, urinary frequency. Derm: rashes. Endo: hyperglycemia, hypoglycemia. MS: arthralgia, back pain, joint pain.Misc: drug-induced lupus syndrome

Nursing Implications:

CNS: fatigue, weakness, anxiety, depression, dizziness, drowsiness, insomnia, memory loss, mental status changes, nervousness, nightmares. EENT: blurred vision, stuffy nose. Resp: bronchospasm, wheezing. CV: BRADYCARDIA, HF, PULMONARY EDEMA, hypotension, peripheral vasoconstriction. GI:constipation, diarrhea,qliver enzymes, nausea, vomiting. GU: erectile dysfunction,plibido, urinary frequency. Derm: rashes. Endo: hyperglycemia, hypoglycemia. MS: arthralgia, back pain, joint pain.Misc: drug-induced lupus syndrome

Patient Teaching: Patients with diabetes should closely monitor blood glucose, especially if weakness, malaise, irritability, or fatigue occurs. Medication does not block sweating as a sign of hypoglycemia.

Advise patient to notify health care professional if slow pulse, difficulty breathing, wheezing, cold hands and feet, dizziness, light-headedness, confusion, depression, rash, fever, sore throat, unusual bleeding, or bruising occurs

Hypertension: Reinforce the need to continue additional therapies for hypertension (weight loss, sodium restriction, stress reduction, regular exercise, moderation of alcohol consumption, and smoking cessation). Medication controls but does not cure hypertension....