Metoprolol tartate (Lopressor) PDF

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Medications Worksheet Drug Generic Name & Trade Name Generic: metoprolol Trade: Lopessor

Classification & Uses

Safe Dosage Range

Ther. Class: antihypertensive/antianginal Pharm. Class: beta blockers Use: ventricular arrhythmias/ anxiety

Onset: 15 min Peak: unkn Duration: 6-12 hr Half-life: 3-7 hr Pt is taking 25mg Side Effects

Drug Action (How it works)

Adverse Reactions

Blocks stimulation of beta1(myocardial)adrenergic receptors. Does not usually affect beta2(pulmonary, vascular, uterine)adrenergic receptor sites. Decreased BP and heart rate.

Bradycardia, HF, pulmonary edema

Oral Route_____ Consider below: CAUTION HF, pulmonary edema, cardiogenic shock, bradycardia, pulmonary disease, diabetes, thyrotoxicosis, untreated pheochromocytoma Can it be crushed? Yes Given with food? With meals Given with other medications? Yes

fatigue, weakness, anxiety, depression, dizziness, drowsiness, insomnia, memory loss, mental status changes, nervousness, nightmare, blurred vision, stuffy nose, bronchospasm, wheezing, hypotension, peripheral vasoconstriction GI: constipation, diarrhea, drug-induced hepatitis, dry mouth, flatulence, gastric pain, heartburn, ↑ liver enzymes, nausea, vomiting, erectile dysfunction, ↓ libido, urinary frequency, rash, hyperglycemia, hypoglycemia, arthralgia, back pain, joint pain, drug-induced lupus syndrome

IV Route: _____ Consider below:

Alternative Route :____________

Dilution required? Compatible with IV solution? Compatible with other meds? Push Rate? Flush needed?

Necessary Considerations:

Nursing Implications (Pre-Administration and Follow-up: Pertinent labs, assessment and interventions) Monitor BP, ECG, and pulse frequently during dose adjustment and periodically during therapy. Monitor vital signs and ECG every 5–15 min during and for several hours after parenteral administration. If heart rate...