ATI learning template metoprolol clinical PDF

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Summary

ATI active template for metoprolol practice material....

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ACTIVE LEARNING TEMPLATE:

Medication

Mesadieu STUDENT NAME Shaynell _____________________________________ MEDICATION Metoprolol __________________________________________________________________________ REVIEW MODULE CHAPTER ___________

antihypertensive CATEGORY CLASS antiangial ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Block stimulation of Beta1 andrenergic receptors.

Therapeutic Use Decrease BP and heart. Decreased frequency of attacks of angina pectoris. Decreased rate of cardiovascular mortality and hospitalization in patients with heart attack.

Complications fatigue, weakness, anxiety, depression, dizziness, drowsiness, insomnia, memory loss, mental status changes, nervousness, nightmare, bradycardia, HF, pulmonary edema, hypotension, rash, blurred vision, stuffy nose, hypergylcemia, hypoglycemia, constipation, diarrhea, etc.

Medication Administration This drug can be taken orally and Intravenously.

Contraindications/Precautions Contraindicated in: Uncompensated HF, pulmonary edema, cardiogenic shock, bradycardia, heart block or sick sinus syndrome. Use cautiously: Renal impairment, hepatic impairment, sensitivity to beta blockers, pulmonary disease, DM, Thyrotoxicosis, patients with a history of severe allergic reactions.

Interactions General anesthesia, phenytoin and verapamil may cause myocardial depression.d digoxi, verapmil,diltiazem or clonidine increase risk of bradycardia. Antihypertensives, alcohol, nitrates increase risk of hypotension. Concurrent use of amphetamines, cocaine, ephedrine, epinephrine, norepinephrine, phenylephrine, or pseudoephedrine may result in excessive hypertension or bradycardia. Thyroid medication may decrease effectivness.

Evaluation of Medication Effectiveness Decrease in BP. Reduction in frequency of anginal attacks. Prevention of MI.

ACTIVE LEARNING TEMPLATES

Nursing Interventions Monitor BP, ECG, and pulse frequently during dose adjustment and periodically during therapy. Monitor vital signs and ECG every 15 minutes. Monitor intake and output. Asess routinely for signs of HF.

Client Education Instruct to take drug as directed. Never skip or double dose. Teach patient and family how to monitor BP biweekly and pulse daily. Caution patient to avoid driving. Advise patient to change position slowly to minimize orthostatic hypotension. Caution patient that this drug may increase sensitivity to cold....