Propanolol Prototype PDF

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Summary

Prototype for future tests. Good review...

Description

Classification: Beta blockers Generic Name: Propranolol Expected Pharmacological Action (Pharmacology): Blocks stimulation of beta1(myocardial) and beta2 (pulmonary, vascular, and uterine)-adrenergic receptor sites. Usual Dose: 40mg bid or 80mg once a day Usual routes: PO Therapeutic Uses: Decreased heart rate and BP. Suppression of arrhythmias. Prevention of MI. Expected Common Adverse Effects: Diarrhea. Dry eyes. Hair loss. Nausea. Adverse Effects Requiring Nursing Action: Arrhythmias, Bradycardia, HF, and Pulmonary Edema Action: Prevention/Assessment/Intervention: ● Monitor BP and pulse frequently during dose adjustment period and periodically during therapy. ● Abrupt withdrawal of propranolol may precipitate life-threatening arrhythmias, hypertension, or myocardial ischemia. Drug should be tapered over a 2-week period before discontinuation. Assess patient carefully during tapering and after medication is discontinued. Consider that patients taking propranolol for non-cardiac indications may have undiagnosed cardiac disease. Abrupt discontinuation or withdrawal over too-short a period of time (less than 9 days) should be avoided. Likely Medication/Food Interactions: - Avoid drinking alcohol. It may increase your blood levels of propranolol. - Caffeine-containing food items and beverages when taken along with propranolol may decrease the effectiveness of the drug. It is better to avoid tea or coffee while taking propranolol. Administration/Interventions/Evaluation of Effectiveness/Laboratory Work: effective in managing symptoms caused by sympathetic hyperactivity associated with anxiety disorders, hyperthyroidism, and pheochromocytoma. Further, it is used for preparing patients for surgery in hyperthyroidism and pheochromocytoma. Patient Education: What will the safe nurse teach the client to DO or expect or report: - Take medications as directed at same time each day even if feeling well - Teach pt and fam how to take pulse daily and Bp biweekly

- Hold dose if pulse is less than 50 bpm and contact Hc professional - Avoid driving and other activities until response of drug is known because it make cause drowsiness or dizziness - Meds may increase sensitivity to cold...