Drug Card-Metoprolol PDF

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DRUG CARD FORMAT Student’s Name: Ruby Marteja

Generic Name: Trade Name: Black Box Warning:

Drug Classification: Indication: (What disease/illness) Mechanism of Action: (How does it do its job) Normal Dose Range: (Adult & Geri)

Onset/Peak/Duration:

*Pre-administration Assessment Data:

Side effects: Adverse effects: Contraindications: Post-Administration Assessment Data: Patient Education:

Antidote: (if applicable)

Date: 02/19/2021

Metoprolol tartrate (immediate release; for acute MI) / Metoprolol Succinate (extended release; treatment for chronic HF) Lopresor, Lopresor SR, Lopressor / Toprol-XL When stopping therapy, taper dosage over 1 to 2 weeks. Do not discontinue abruptly even in patients treated only for HTN. Notify prescriber about unpleasant adverse reactions. Antianginal, Antiarrhythmic, Antihypertensive agent, Beta-adrenergic blockingagent (selective) HTN, angina pectoris, prevention of MI, early intervention of acute MI A selective beta blocker that selectively blocks beta1 receptors; decreases cardiac output, peripheral resistance, and cardiac oxygen consumption; and depresses renin secretion. HTN: initially, 50 mg PO b.i.d. or 100 mg PO once daily; then up to 100 to 400 mg daily in two or three divided doses or, 25 to 100 mg extended-release tablets (tartrate equivalent) PO once daily. Early intervention in acute MI: 5 mg metoprolol tartrate IV bolus every 2 minutes for three doses. Then, starting 15 minutes after the last IV dose, 25 to 50 mg PO every 6 hours for 48 hours. Angina pectoris: Initially, 100 mg PO daily as a single dose or in two equally divided doses; increased at weekly intervals until an adequate response or a pronounced decrease in HR is seen. PO: Onset 15 min/ Peak 1hr / Duration 6-12hr PO (extended-release): Onset 15min / Peak 6-12hr / Duration 24hr IV: Onset 5min / Peak 20min / Duration 5-8hr Monitor VS and BP, ECG, and pulse frequently during dose adjustment and periodically throughout therapy. Always check patient’s apical pulse rate before giving drug. If it’s slower than 50 beats/minute, withhold drug and call prescriber immediately. Fatigue, dizziness, depression, weakness, impotence, depression, blurred vision, wheezing, constipation or diarrhea, rashes, hyper/hypo-glycemia, joint pain CHF and bronchospasm; bradycardia, stroke, pulmonary edema CHF, Pulmonary edema, cardiogenic shock, bradycardia or heart block. Hypersensitive to drug or other beta blockers. Nausea and vomiting Monitor VS and BP, ECG, and pulse frequently during dose adjustment and periodically throughout therapy. Monitor I&O’s. Lab test considerations. Check BUN Instruct patient to take drug exactly as prescribed with meals. Avoid driving and other tasks requiring mental alertness until response to therapy has been established. Inform dentist or prescriber about use of this drug before procedures/surgery. Report all adverse reactions and SOB. Check VS. Diabetics should closely monitor glucose levels. Glucagon is considered an alternative therapy.

References “Metoprolol”. (2019). In Lippincott Advisor. Retrieved from https:/advisor-edu.lww.com. Vallerand, A.H. & Sanoski, C. A. (2019). Davis’s Drug Guide for Nurses (16th ed.). F.A. Davis Company. EdD Rn, Z. J. M. (2019). Mosby’s Pharmacology Memory Note Cards: Visual, Mnemonic, and Memory Aids for Nurses (5th ed.). Mosby....