NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms

) Generic Name Labetalol Peak 5 min Trade Name Normodyne, Trandate Onset 2-5 min Classification Dose Route Time/frequency Antianginals, 5 mg IV Q 4 hr prn antihypertensives, beta blockers Duration Normal dosage range 16-18 hr 20 mg (0.25 mg/kg) initially For IV meds, compatibility with IV drips and/or solutions Y-Site compatibility with Prednisolone, D5W

Why is your patient getting this medication Hypertension

Mechanism of action and indications (Why med ordered) Management of hypertension, Blocks ctimulation of beta, (myocardial) and beta (pulmonary, vascular, and uterine) adrenergic receptor sites. Also has alpha1-adrenergic blocking activity, which may result in more orthostatic hypotension. Decreased BP.

Nursing Implications (what to focus on) Contraindications/warnings/interactions Uncompensated CHF, pulmonary edema, cardiogenic shock, bradycardia or heart block Common side effects – fatigue, weakness, arrhythmias, bradycardia, CHF, pulmonary edema, orthostatic hypotension

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Additive bradycardia may occur with digoxin, Antihypertensives.

Lab value alterations caused by medicine May inc. ANA titers, blood clucose levels, serum alkaline phosphatase, LDH, AST and ALT levels. Be sure to teach the patient the following about this medication

Nursing Process- Assessment (Pre-administration assessment) BP, apical pulse 1 min, if < 50 or arrhythmia, notify Dr. Pt must be supine during and for 3 hr after admin. FS ever 5-15 min during and for several hrs after admin. I & O daily wt. Asses for fluid overload.

Assessment Why would you hold or not give this med? Jaundice or lab signs of hepatic function impairment. Bradycardia, bluish fingernails, severe drowsiness.

Evaluation Check after giving Decrease in BP