Atenolol Tenor Min)

INDEX Generic Name

Trade Name

atenolol

Tenormin

Peak Onset 2-4 hr 1 hr Why is your patient taking this medication?

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency antianginals 50mg PO Once/daily - antianginal antihypertensives 25-50mg PO once/daily - antihypertensive 50mg PO given 10 min after last IV dose, then 50mg 12 hr later, then 100/mg/day as a single dose - MI Duration For IV meds, compatability with IV drips and/or solutions 24 hr

Mechanism of action and indications Management of hypertension; management of angina pectoris; prevention of MI. Decreased BP and HR. Decreased frequency of attacks of angina pectoris. Prevention of MI

Interactions with other patient drugs, OTC, or herbal medicines (ask patient specifically) General anesthesia; IV phenytoin; verapamil; digoxin; antihypertensives; alcohol; nitrates; amphetamine; cocaine; ephedrine; epinephrine; norepinephrine; phenylephrine; pseudoephedrine; thyroid; insulins; oral hypoglycemic agents; theophylline; dopamine; dobutamine; MAO inhibitor.

Nursing Process - Assessment (Pre-administration assessment Vital Signs Monitor intake and output ratios and daily weights. Assess routinely for CHF. Assess for frequency of angina.

Nursing Implications (what to focus on) Contraindications/warnings/interactions Uncompensated CHF; pulmonary edema; cardiogenic shock; bradycardia or heart block. Use cautiously in: Renal impairment; geriatric patients; pulmonary disease; diabetes mellitus; thyrotoxicosis; severe allergic reactions; pregnancy; lactation; children Common side effects fatigue; weakness; anxiety; depression; dizziness; brady cardia; CHF; pulmonary edema; hypotension; peripheral vasoconstriction; constipation; diarrhea; nausea; vomiting; impotence; urinary frequency; rash; hyperglycemia; hypoglycemia; arthralgia; back pain; joint pain; blurred vision; nervousness; bronchospasm; wheezing. Lab value alterations caused by medicine

Be sure to teach the patient the following about this medication Take at same time each day; check pulse and BP; change position slowly; may increase sensitivity to cold; consult doctor before taking OTC meds; diabetic patients should montior blood glucose levels; notifiy doctor of slow pulse, dizziness, light-headedness, unusual bleeding, bruising; additional therapy of weight loss; Na+ restriction; stress reduction; exercise, no smoking or alcohol Assessment Evaluation Why would you hold or not give Check after giving this med? Decrease in BP Bradycardia (<60) Reduction in frequency of angina Increase in activity tolerance Prevention of MI

or alcohol