Generic Name T Rade Name Classification Metoprolol Lopressor Antianginals, Antihypertensives

Generic name T rade name Classification metoprolol Lopressor antianginals, antihypertensives Indications-Angina, hypertension

Route T ime/Frequency Normal Dosage - 5 mg q 2 min for 3 IV or doses, followed by oral dosing PO Contraindications/warnings/interactions - uncompensated CHF, pulmonary edema, cardiogenic shock, bradycardia or heart block.

Use cautiously in: renal impairment, hepatic impairment, pulmonary disease (including asthma; beta 1 selectivity may be lost at higher doses), diabetes mellitus (may mask signs of hypoglycemia), thyrotoxicosis (may mask symptoms), patients with a history of severe allergic reactions (intensity of reactions may be increased). M echanism of action-Blocks stimulation of Common side effects-Fatigue, weakness, anxiety, depression, beta1(myocardial)-adrenergic receptors. Does not usually dizziness, drowsiness, insomnia, memory loss, mental status changes, affect beta2(pulmonary, vascular, uterine)-adrenergic nervousness, nightmares, BRADYCARDIA, CHF, PULMONARY EDEMA, hypotension, peripheral vasoconstriction. receptor sites. Lab value alterations-May cause ↑ BUN, serum lipoprotein, potassium, triglyceride, and uric acid levels. May cause ↑ ANA titers. May cause ↑ in blood glucose levels. May cause ↑ serum alkaline phosphatase, LDH, AST, and ALT levels. Nursing ConsiderationsMonitor blood pressure, ECG, and pulse frequently during dose adjustment and periodically during therapy. Monitor intake and output ratios and daily weights. Assess routinely for signs and symptoms of CHF (dyspnea, rales/crackles, weight gain, Interactions with other patient drugs, OT C, or herbal peripheral edema, jugular venous distention), notify health care medicines-↑ hypotension may occur with other professional if slow pulse, difficulty breathing, wheezing, cold hands antihypertensives or acute ingestion of alcohol (Norvasc). and feet, dizziness, light-headedness, confusion, depression, rash, May alter the effectiveness of insulins or oral fever, sore throat, unusual bleeding, or bruisingCheck occurs. Why would you hold or not giveEvaluationafter giving hypoglycemic agents (dosage adjustments may be this med?Hypotension Decrease in blood pressure, necessary) (Novolin R, Novolog, Lantus). increase in activity tolerance, prevention of MI.