Lo Press Or

NURS 2516 Clinical Medications Worksheets Generic Name Metoprolol tartrate Peak 20 min

Trade Name Lopressor

Classification Antihypertensive

Onset Immediate

Duration 5-8 hr

Mechanism of action and indications (Why med ordered) Ordered to control hypertension, it does this by blocking stimulation of B (myocardial) adrenergic receptors

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Cholamine-depleting drugs can result in serious adrenergic blockage

Nursing Process- Assessment (Pre-administration assessment) Blood pressure, apical pulse, check pulse before administration.

Dose

Route

Time/frequency

5mg =5ml

IVP

Q 6 hr

For IV meds, compatibility with IV drips and /or solutions Administer undiluted. Rate of administration Direct IV: may be administered by injecting 5 mg rapidly at 2 min intervals for 3 doses. Normal Dosage Range: 5mg q 2 min for 3 doses followed by oral dosing. Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity, bradycardia, cardiogenic shock Common side effects CNS: tiredness, dizziness, depression, mental confusion. CV: bradycardia, palpitations, shortness of breath, cold extremities. GI: N/D, gastric pain, constipation, flatulence. Lab value alterations caused by medicine Increased plasma levels

Be sure to teach the patient the following about this medication Check pulse before taking, avoid quick position changes, dizziness, drowsiness may occur, take with food to minimize gastric upset. Assessment Evaluation Why would you hold or not give this Check after giving med? Check Blood Pressure and If systolic Blood Pressure is <100, or Pulse. if Heart Rate is < 60