Atenolol template PDF

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Medication

LVN STUDENT NAME _____________________________________ MEDICATION Atenolol __________________________________________________________________________

book REVIEW MODULE CHAPTERdrug ___________

blocker, atianginals, antihypertensives CATEGORY CLASS Beta ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action management of hypertension, management of angina pectoris, prevention of MI

Therapeutic Use blocks stimulation of beta(myocardial) adrenergic receptors. does not usually affect beta2 (pulmonary vascular, uterine) receptor sites. Decreases BP and HR. decreased frequency of attacks of anginal pain.

Complications bradycardia, decreased cardiac output, AV block, Orthostatic hypotension, rebound mycocardiym excitation

Medication Administration Administer meds via PO/IV take meds with food to increase absorption. PO meds QD-BID, modify doses for renal impairments. Tablets are 25mg, 50mg, 100mg

Contraindications/Precautions sinus bradycardia, 1st degree heart block and cardiac failure, or shock. Uncompensated HF, pulmonary edema. Precaution for renal impairment, hepatic impairment, geriatric patients. Diabetes mellitus, thyrotoxicosis,

Interactions

Nursing Interventions monitor BP, ECG, HR, Intak and output, Lab tests, angina, manage pain, s/s of toxicity/overdose, monitor Blood glucose levels.

general anesthesia, IV phenytonin, verapamil, antihypertensives, alcohol , nitrates, phenlephrine, peudoephedrine, thryroid medications, doapamine, dobutamine, MAO inhibitors, Client Education Evaluation of Medication Effectiveness Decrease in BP, reducation in frequency of angina, increase in activity tolerance, prevention of MI.

ACTIVE LEARNING TEMPLATES

take med as directed at the same time each day, do not skip dose, take missed dose asap but if near scheduled dose do not double up, edu how to assess pulse and BP. precautions when driving, diet, hydration, sensitivity to cold. Notify MD if sob, slow pulse, wheezing cold hands/feet, hypertiension, Female notify MD if pregnant. Diabetic pt monitor BG levels, s.s of hypoglycemia

THERAPEUTIC PROCEDURE

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