Betapace PDF

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Summary

Betapace...

Description

CLASS: Sotalol

GENERIC NAME: Sotalol

TRADE NAME: Betapace

MOA: exhibits reverse use dependent effects, meaning that the maximal potassium current blocking effect occurs when the heart rate is low. INDICATIONS: commonly indicated for the management of difficult-to-treat dysrhythmias. Often these dysrhythmias are life threatening ventricular dysrhythmias such as sustained ventricular tachycardia CONTRAINDICATIONS: known drug allergies, may include uncompensated heart failure, cardiogenic shock, heart block, or bradycardia, pregnancy or severe pulmonary disease & Raynaud's disease. INTERACTONS WITH OTHER DRUGS/ FOOD: can cause additive effects. PATIENTS COMMON ADVERSE S/S TXICITY/ EFFECTS: most RESPONSE: SIDE TOXICITY: OVERDOSE: the patient effects are mild & withdrawal treatment EFFECTS: should respond dizziness, diminish with time, may cause consists of with a normal they can include, acute serious primarily sick, tired, heart rhythm bradycardia, symptoms symptomatic & headache after taking this depression, impotence, including supportive care. medication constipation, fatigue & exacerbating Atropine (arrhythmias) hypotension, underlying should be given angina, intravenously precipitate an for the MI or cause management of rebound bradycardia. hypertension

NURSING ACTIONS: assess patient before administration and continue to monitor your patient during the administration of this drug and other adrenergic blocking drugs.

ASSESS: gather information about patient allergies, & past & present medical history, also gather past & present medications. Assess if there are any underlying or preexisting disease.

CARE/IMPLEMENT: available for oral use only. The first dose can make them dizzy so administer the drug before bedtime.

TEACH: teach the patient that this medication along with other beta blockers has a black box warning and should not be stopped abruptly but tapered over 12 weeks.

EVAULATE: evaluate if the medication worked, if hypertension has returned to a normal blood pressure, also look for a decrease in chest pain in patients with angina. Also evaluate if the patient experienced

Assess for preexisting conditions because certain ones for example bradycardia can worsen the condition with the use of this or other adrenergic drugs.

any adverse effects associated with the mediations, including bradycardia, depression, fatigue or hypotension.

SPECIAL CONSIDERTATIONS: consult with the HCP if patient is pregnant....