Toprol Xl
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NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name Metoprolol Toprol-XL
Classification Dose Route Time/frequency Antianginals, 25 mg PO BID antihypertensives Peak Onset Duration Normal dosage range Unknown 15 min 6-12 hr 25-100 mg/day as a single dose initially or 2 divided doses, may be increases q 7 days as needed up to 450 mg/day (for angina give in divided dose). Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions Treatment of Angina N/A Mechanism of action and indications (Why med ordered) Blocks stimulation of beta 1, adrenergic receptors. Does not usually affect beta 2 adrenergic receptor sites.
Nursing Implications (what to focus on) Contraindications/warnings/interactions Uncompensated CHF. Pulmonary edema. Cardiogenic shock. Bradycardia or heart block. Common side effects Fatigue, weakness, anxiety, depression, dizziness, drowsiness, insomnia, memory loss, bradycardia, hypotension.
Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Hypotension may occur with other antihypertensives. Concurrent administration of thyroid administration may decrease effectiveness.
Nursing Process- Assessment (Pre-administration assessment) Take apical pulse before administering If <50bpm or if arrhythmia occurs withhold medication& notify Dr.
Lab value alterations caused by medicine May cause increase BUN, serum lipoprotein, potassium, triglyceride, and uric acid levels. May cause increase ANA titers, May cause increase in blood glucose levels, may cause increase serum alkaline phosphatase, LDH, AST, and ALT levels. Be sure to teach the patient the following about this medication Take as directed, at the same time each day, even if feeling well, do not skip or double up on missed doses. Do not stop medication suddenly. Teach patient and family how to take pulse daily and blood pressure biweekly. May cause drowsiness. Change positions slowly. Assessment Evaluation Why would you hold or not give this med? Apical pulse < 50 BPM
Check after giving Monitor BP, Reduction if frequency of angina attacks, increase in activity tolerance.
Classification Dose Route Time/frequency Antianginals, 25 mg PO BID antihypertensives Peak Onset Duration Normal dosage range Unknown 15 min 6-12 hr 25-100 mg/day as a single dose initially or 2 divided doses, may be increases q 7 days as needed up to 450 mg/day (for angina give in divided dose). Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions Treatment of Angina N/A Mechanism of action and indications (Why med ordered) Blocks stimulation of beta 1, adrenergic receptors. Does not usually affect beta 2 adrenergic receptor sites.
Nursing Implications (what to focus on) Contraindications/warnings/interactions Uncompensated CHF. Pulmonary edema. Cardiogenic shock. Bradycardia or heart block. Common side effects Fatigue, weakness, anxiety, depression, dizziness, drowsiness, insomnia, memory loss, bradycardia, hypotension.
Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Hypotension may occur with other antihypertensives. Concurrent administration of thyroid administration may decrease effectiveness.
Nursing Process- Assessment (Pre-administration assessment) Take apical pulse before administering If <50bpm or if arrhythmia occurs withhold medication& notify Dr.
Lab value alterations caused by medicine May cause increase BUN, serum lipoprotein, potassium, triglyceride, and uric acid levels. May cause increase ANA titers, May cause increase in blood glucose levels, may cause increase serum alkaline phosphatase, LDH, AST, and ALT levels. Be sure to teach the patient the following about this medication Take as directed, at the same time each day, even if feeling well, do not skip or double up on missed doses. Do not stop medication suddenly. Teach patient and family how to take pulse daily and blood pressure biweekly. May cause drowsiness. Change positions slowly. Assessment Evaluation Why would you hold or not give this med? Apical pulse < 50 BPM
Check after giving Monitor BP, Reduction if frequency of angina attacks, increase in activity tolerance.
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